CT head without contrast at Northwest Health - Porter. CPT 70450.
What Northwest Health - Porter publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$1,122cash price (self-pay)
$4,154list price
$97.84–$3,489range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Veterans Eval Services | Veterans Eval Services | $97.84 |
| NODE Tricare | NODE Tricare | $105 |
| Align Network | Align Network | $177 |
| Anthem | Anthem IN Medicaid | $221 |
| CareSource | Caresource HHW IN Medicaid | $221 |
| CareSource | CareSource IN HIP | $221 |
| Humana PathWays IN Medicaid | Humana PathWays IN Medicaid | $221 |
| Indiana Medicaid | IN Medicaid | $221 |
| Indiana Medicaid Non Par | IN Medicaid Non Par | $221 |
| MHS | MHS HCC IN Medicaid | $221 |
| Managed Health Services | MHS HHW IN Medicaid | $221 |
| Managed Health Services | MHS IN HIP | $221 |
| UHC | UHC HCC IN Medicaid | $221 |
| UHC PathWays IN Medicaid | UHC PathWays IN Medicaid | $221 |
| One Call | One Call Care Diagnostics WC | $275 |
| Lutheran Preferred | Lutheran Preferred Exclusive Plus | $675 |
| Lutheran Preferred | Lutheran Preferred Fixed 2 | $675 |
| Encore PPO | Encore Combined PPO | $788 |
| Aetna | Aetna HMO/POS | $945 |
| Lutheran Preferred CHS Employees | Lutheran Preferred CHS Employees | $997 |
| United Healthcare | UHC APA | $1,078 |
| Self Pay | Self Pay | $1,122 |
| Cigna | Cigna ALL | $1,155 |
| United Healthcare | UHC PPO | $1,295 |
| First Health Coventry | First Health | $1,338 |
| Physicians Health Plan | PHP Options | $1,592 |
| PHP Freedom | PHP Freedom Network | $1,716 |
| Sagamore Health Network | Sagamore Indiana Financial | $1,836 |
| Aetna | Aetna PPO | $2,006 |
| Sagamore Health Network | Sagamore Anthem Groups | $2,044 |
Inpatient
$1,495cash price (self-pay)
$4,154list price
$997–$3,489range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Lutheran Preferred CHS Employees | Lutheran Preferred CHS Employees | $997 |
| Cigna | Cigna ALL | $1,155 |
| Self Pay | Self Pay | $1,495 |
| Physicians Health Plan | PHP Options | $1,592 |
| PHP Freedom | PHP Freedom Network | $1,716 |
| Sagamore Health Network | Sagamore Indiana Financial | $1,836 |
| Sagamore Health Network | Sagamore Anthem Groups | $2,044 |
| Aetna | Aetna PPO | $2,106 |
| Sagamore Health Network | Sagamore Select Plus | $2,459 |
| Lutheran Preferred | Lutheran Preferred Choice | $2,492 |
| Southeastem Indiana Health Operations | SIHO Outside Counties | $2,908 |
| Prime Health | PRIME HEALTH SERVICES | $3,116 |
| Prime Health | Prime Health Services Auto | $3,116 |
| Southeastem Indiana Health Operations | SIHO Inside Counties | $3,116 |
| Encore Health | Encore Health PPO | $3,323 |
| Multiplan/PHCS | Multiplan Complementary | $3,489 |
| Multiplan/PHCS | PHCS Savility Primary Network | $3,489 |
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