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CT head without contrast at Memorial Hospital of South Bend. CPT 70450.

What Memorial Hospital of South Bend publishes for this service, straight from its standard-charges file, last updated January 1, 2026.

Outpatient / ER

$892cash price (self-pay)
$1,373list price
$59.71–$1,373range insurers pay
Insurance planNegotiated rate
McLaren | MI Medicaid$59.71
UHC | MI Medicaid$59.71
Anthem | Exchange$111
Anthem | Medicare Advantage$111
Humana | Medicare Advantage$111
PACE | Medicare$111
Caresource | Exchange$178
Anthem | Workers Compensation$212
Anthem | IN Medicaid HCC$221
Anthem | IN Medicaid HHW$221
Anthem | IN Medicaid HIP$221
Anthem | Pathways for Aging$221
Caresource | IN Medicaid HHW$221
Caresource | IN Medicaid HIP$221
Humana | Pathways for Aging$221
MHS | IN Medicaid HCC$221
MHS | IN Medicaid HHW$221
MHS | IN Medicaid HIP$221
MdWise | IN Medicaid HHW$221
MdWise | IN Medicaid HIP$221
UHC | IN Medicaid HCC$221
Devoted Healthcare | Medicare Advantage$275
Anthem | Commercial (excludes Granger)$276
Anthem | HealthSync$276
Aetna | Medicare Advantage$618
CHA | Employer Group 4$824
Immergrun | Commercial$824
MHS | Exchange$892
Cigna | OAP$961
UHC | Commercial$991

Inpatient

$892cash price (self-pay)
$1,373list price
$275–$1,126range insurers pay
Insurance planNegotiated rate
Devoted Healthcare | Medicare Advantage$275
Multiplan | Commercial$892
Cigna | OAP$961
UHC | Commercial$991
Humana | Commercial$1,002
Aetna | Commercial$1,011
CHA | Employer Group 5$1,030
CHA | Employer Group 6$1,098
Cigna BH | Commercial$1,098
Immergrun | Commercial$1,098
Plain Church | Commercial$1,098
Cigna | PPO$1,126
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All common services at Memorial Hospital of South Bend