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CT head without contrast at Henry Ford Providence Southfield Hospital. CPT 70450.

What Henry Ford Providence Southfield Hospital publishes for this service, straight from its standard-charges file, last updated January 1, 2026.

Outpatient / ER

$561cash price (self-pay)
$1,001list price
$59.17–$215range insurers pay
Insurance planNegotiated rate
Jvhl - Medicaid Replacement | 1245_sjpk,Sjpr Medicaid Replacement HMO $59.17
Molina Health | 1081_sjpk,Sjpr Medicaid Replacement Molina Health Inpa$59.17
Health Plan Of Mi Medicaid HMO | 1083_sjpk,Sjpr Meridian Health Inpati$59.17
Jvhl - Medicaid Replacement | 1079_sjpk,Sjpr Medicaid HMO Jvhl Inpatie$59.17
Blue Caid Michigan | 1266_sjpk,Sjpr Medicaid Replacement Blue Caid Of $60.43
Great Lakes- UHC Community Plan | 1247_sjpk,Sjpr Medicaid Replacement $60.43
Harbor Health Mcd | 1243_sjpr Medicaid Repleacement Harbor Health Outp$60.43
Health Plan Of Mi Medicaid HMO | 1262_sjpk,Sjpr Medicaid Replacement M$60.43
Medicaid | 1263_sjpk,Sjpr Mi Medicaid Outpatient 20250101$60.43
Medicaid Replacement | 1242_sjpr Medicaid HMO Outpatient 20250101$60.43
Molina Health | 1264_sjpk,Sjpr Medicaid Replacement Molina Health Outp$60.43
Omnicare Medicaid HMO | 1244_sjpr Medicaid Repleacement Omnicare Outpa$60.43
Total Health Care | 1246_sjpk,Sjpr Medicaid Replacement Total Health C$60.43
Priority PPO | 1105_sjpk,Sjpr Priority PPO 20210801$73.53
Priority Health HMO | 1104_sjpk,Sjpr Priority HMO 20210701$86.03
Amerihealth Vip Care Mcr | 1254_sjpk,Sjpr Medicare Advantage Ameriheal$89.60
Aetna Medicare | 1255_sjpk,Sjpr Medicare Advantage Aetna Outpatient 20$104
Auto Insurance | 1257_sjpk,Sjpr Auto Insurance Outpatient 20250101$104
Jvhl - Mcr Replacement | 1251_sjpk,Sjpr Medicare Advantage Jvhl Outpat$104
Mcr Replacement | 1253_sjpk,Sjpr Medicare Advantage HMO Outpatient 202$104
Veterans Choice | 1256_va Optum Health Outpatient 20250101$104
Humana Mcr | 1252_sjpk,Sjpr Medicare Advantage Humana Outpatient 20250$105
Meridian Wellcare | 1250_sjpk,Sjpr Medicare Advantage Meridian Wellcar$109
Molina Advantage | 1249_sjpk,Sjpr Medicare Advantage Molina Outpatient$109
Hap Alliance Health | 1212_sjpk,Sjpr Ahlic 20241001$128
Hap HMO POS | 1217_sjpk,Sjpr Hap HMO 20241001$128
Meridian Ambetter | 1258_sjpk,Sjpr Meridian Ambetter Outpatient 202501$130
Molina Marketplace | 1259_sjpk,Sjpr Molina Marketplace Outpatient 2025$130
Smart Health | 1261_sjpk,Sjpr Smart Health Outpatient 20250101$144
Bc Metro Detroit EPO | 1127_sjpr Blue Cross Blue Shield Metro Detroit $144

Inpatient

—cash price (self-pay)
—list price
$60.43–$144range insurers pay
Insurance planNegotiated rate
Amerihealth Vip Care Mcr | 1174_sjpk,Sjpr Medicare Advantage Ameriheal$103
Aetna Medicare | 1171_sjpk,Sjpr Medicare Advantage Aetna Inpatient 202$104
Auto Insurance | 1219_sjpk,Sjpr Auto Insurance Inpatient 20241001$104
Health Plan Of Mi Medicaid HMO | 1083_sjpk,Sjpr Meridian Health Inpati$104
Jvhl - Mcr Replacement | 1180_sjpk,Sjpr Medicare Advantage Jvhl Inpati$104
Jvhl - Medicaid Replacement | 1079_sjpk,Sjpr Medicaid HMO Jvhl Inpatie$104
Mcr Replacement | 1183_sjpk,Sjpr Medicare Advantage HMO Inpatient 2024$104
Veterans Choice | 1230_va Optum Health Inpatient 20241001$104
Humana Mcr | 1177_sjpk,Sjpr Medicare Advantage Humana Inpatient 202410$105
Meridian Wellcare | 1189_sjpk,Sjpr Medicare Advantage Meridian Wellcar$109
Molina Advantage | 1192_sjpk,Sjpr Medicare Advantage Molina Inpatient $109
Meridian Ambetter | 1221_sjpk,Sjpr Meridian Ambetter Inpatient 2024100$130
Molina Marketplace | 1223_sjpk,Sjpr Molina Marketplace Inpatient 20241$130
Smart Health | 1227_sjpk,Sjpr Smart Health Inpatient 20241001$144
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All common services at Henry Ford Providence Southfield Hospital