CT head without contrast at IU Health Jay Hospital. CPT 70450.
What IU Health Jay Hospital publishes for this service, straight from its standard-charges file, last updated March 25, 2026.
Outpatient / ER
$398cash price (self-pay)
$889list price
$221–$867range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| United Healthcare | All Managed Medicaid | $221 |
| Elevance Health | All Managed Medicaid | $221 |
| Managed Health Services | All Government Medicaid | $221 |
| Elevance Health | All Government Medicaid HIP | $221 |
| Managed Health Services | All Government Medicaid HIP | $221 |
| Caresource | All Government Medicaid HIP | $221 |
| Caresource | All Managed Medicaid | $221 |
| Self-Pay | Other - Self-Pay | $398 |
| Suburban Health Organization | PPO - Witham Health Services | $467 |
| Community Health Direct | HMO - LaPorte Regional Plans | $525 |
| Parkview Health | HMO - Employee Plans | $549 |
| Unified Group Services | HMO | $551 |
| Lutheran Health Network | All Managed Care | $622 |
| Parkview Health | EPO | $641 |
| Aetna | PPO - First Health | $649 |
| Lutheran Preferred | All PPO Plans | $711 |
| Cigna | PPO | $725 |
| Encore Health Network | PPO/HMO/EPO - Combined/Encircle | $725 |
| Encore Health Network | PPO | $725 |
| Aetna | POS - Cox Medical Plans | $725 |
| SIHO Insurance Services | All PPO Plans | $725 |
| Aetna | HMO - Coventry Plans | $725 |
| Cigna | HMO/POS - Arnett Hospital Plans | $725 |
| Sagamore Health Network/Cigna | PPO - DRG Plans | $725 |
| Elevance Health | All Traditional Plans | $725 |
| Elevance Health | All HMO/POS | $725 |
| Elevance Health | All PPO | $725 |
| Elevance Health | All IUHP Employee Plans | $725 |
| Aetna | PPO - IN Preferred | $725 |
| Cigna | PPO - New Business | $725 |
Inpatient
$433cash price (self-pay)
$968list price
$341–$968range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Elevance Health | All PPO | $341 |
| Elevance Health | All HMO/POS | $341 |
| Elevance Health | All IUHP Employee Plans | $346 |
| Elevance Health | All Traditional Plans | $361 |
| Self-Pay | Other - Self-Pay | $433 |
| Suburban Health Organization | PPO - Direct | $508 |
| Suburban Health Organization | PPO - Witham Health Services | $508 |
| Community Health Direct | HMO - LaPorte Regional Plans | $571 |
| Parkview Health | HMO - Employee Plans | $598 |
| Unified Group Services | HMO | $600 |
| Aetna | PPO - IN Preferred | $609 |
| Aetna | POS - Cox Medical Plans | $609 |
| Cigna | PPO - New Business | $610 |
| Lutheran Health Network | All Managed Care | $678 |
| United Healthcare | All Managed Care | $687 |
| Parkview Health | EPO | $698 |
| Aetna | PPO - NAP | $707 |
| Aetna | PPO - First Health | $707 |
| Aetna | PPO/POS | $771 |
| Aetna | HMO - Coventry Plans | $771 |
| Lutheran Preferred | All PPO Plans | $774 |
| Parkview Health | PPO | $798 |
| Multiplan | PPO - PHCS Private Healthcare Plans | $823 |
| Encore Health Network | PPO | $843 |
| Indiana Health Network (IHN) | All Managed Care | $855 |
| Cigna | PPO | $856 |
| Cigna | HMO | $856 |
| Sagamore Health Network/Cigna | PPO - NON-DRG | $856 |
| Sagamore Health Network/Cigna | PPO - DRG Plans | $856 |
| Cigna | HMO - Open Access | $856 |
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