CT head without contrast at IU Health White Memorial Hospital. CPT 70450.
What IU Health White Memorial Hospital publishes for this service, straight from its standard-charges file, last updated March 25, 2026.
Outpatient / ER
$277cash price (self-pay)
$889list price
$213–$818range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Managed Health Services | All Government Medicaid | $221 |
| Caresource | All Managed Medicaid | $221 |
| Elevance Health | All Managed Medicaid | $221 |
| Managed Health Services | All Government Medicaid HIP | $221 |
| Elevance Health | All Government Medicaid HIP | $221 |
| Caresource | All Government Medicaid HIP | $221 |
| United Healthcare | All Managed Medicaid | $221 |
| Self-Pay | Other - Self-Pay | $277 |
| Indiana Health Network (IHN) | All Managed Care | $463 |
| Suburban Health Organization | PPO - Witham Health Services | $467 |
| Aetna | PPO - NAP | $516 |
| Community Health Direct | HMO - LaPorte Regional Plans | $525 |
| Cigna | PPO | $560 |
| Cigna | HMO | $560 |
| Cigna | HMO/POS - Arnett Hospital Plans | $560 |
| Cigna | HMO - Open Access | $560 |
| Lutheran Health Network | All Managed Care | $622 |
| Parkview Health | EPO | $641 |
| Lutheran Preferred | All PPO Plans | $711 |
| Elevance Health | All PPO | $725 |
| Elevance Health | All Traditional Plans | $725 |
| Elevance Health | All HMO/POS | $725 |
| Elevance Health | All IUHP Employee Plans | $725 |
| Sagamore Health Network/Cigna | PPO - NON-DRG | $725 |
| Aetna | POS - Cox Medical Plans | $725 |
| SIHO Insurance Services | HMO/POS Plans | $725 |
| SIHO Insurance Services | All PPO Plans | $725 |
| Sagamore Health Network/Cigna | PPO - DRG Plans | $725 |
| Aetna | PPO - IN Preferred | $725 |
| Aetna | PPO/POS | $725 |
Inpatient
$302cash price (self-pay)
$968list price
$302–$891range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Self-Pay | Other - Self-Pay | $302 |
| Encore Health Network | PPO | $358 |
| SIHO Insurance Services | PPO - Union Health | $397 |
| Elevance Health | All HMO/POS | $456 |
| Elevance Health | All PPO | $491 |
| Elevance Health | All IUHP Employee Plans | $491 |
| Indiana Health Network (IHN) | All Managed Care | $504 |
| Suburban Health Organization | PPO - Witham Health Services | $508 |
| Suburban Health Organization | PPO - Direct | $508 |
| Aetna | PPO/POS | $518 |
| Aetna | HMO - Coventry Plans | $518 |
| Aetna | PPO - IN Preferred | $521 |
| Aetna | POS - Cox Medical Plans | $521 |
| United Healthcare | All Managed Care | $557 |
| Aetna | PPO - NAP | $561 |
| Aetna | PPO - First Health | $561 |
| Community Health Direct | HMO - LaPorte Regional Plans | $571 |
| Parkview Health | HMO - Employee Plans | $598 |
| Unified Group Services | HMO | $600 |
| Cigna | HMO | $610 |
| Cigna | HMO/POS - Arnett Hospital Plans | $610 |
| Cigna | HMO - Open Access | $610 |
| Cigna | PPO | $610 |
| Sagamore Health Network/Cigna | PPO - NON-DRG | $610 |
| Sagamore Health Network/Cigna | PPO - DRG Plans | $610 |
| Elevance Health | All Traditional Plans | $667 |
| Lutheran Health Network | All Managed Care | $678 |
| Parkview Health | EPO | $698 |
| Lutheran Preferred | All PPO Plans | $774 |
| Parkview Health | PPO | $798 |
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