CT head without contrast at Fairview Bethesda Hospital. CPT 70450.
What Fairview Bethesda Hospital publishes for this service, straight from its standard-charges file, last updated January 29, 2026.
Outpatient / ER
$361cash price (self-pay)
$1,189list price
$27.55–$1,081range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Itasca Medical Care | Managed Medicaid | $100 |
| Primewest | Managed Medicaid | $100 |
| South Country Health Alliance | PMAP | $100 |
| Primewest | MSHO | $106 |
| Sanford Health Plan | Medicare Advantage | $106 |
| Security Health Plan | Medicare Advantage | $106 |
| South Country Health Alliance | Medicare Advantage | $106 |
| United Healthcare | Medicare Advantage | $106 |
| WellCare | Medicare Advantage | $106 |
| Itasca Medical Care | Medicare Advantage/MSHO | $106 |
| UCare | Medicare Advantage/MSHO | $107 |
| Hennepin Health | PMAP | $108 |
| UCare | PMAP | $109 |
| Blue Cross of Minnesota | Medicare Advantage | $110 |
| Health Partners | Medicare Advantage | $112 |
| Medica | Medicare Advantage | $112 |
| UCare | Individual and Family with M Health Fairview | $186 |
| UCare | Individual and Family | $243 |
| Health Partners | Medicare Cost | $293 |
| Health Partners | PMAP | $298 |
| Blue Cross of Minnesota | Managed Medicaid | $327 |
| Medica | Minnesota Care/AccessAbility/Choice Care Government | $420 |
| Medica | MSHO | $513 |
| United Healthcare | Core | $628 |
| United Healthcare | Commercial | $678 |
| Blue Cross of Minnesota | Aware Federal | $687 |
| Blue Cross of Minnesota | Commercial | $699 |
| Health Partners | Federal | $700 |
| Health Partners | Commercial | $713 |
| America's PPO | EZCare | $713 |
Inpatient
$361cash price (self-pay)
$1,189list price
$241–$1,081range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Blue Cross of Minnesota | Managed Medicaid | $318 |
| Health Partners | Medicare Cost | $392 |
| Health Partners | PMAP | $399 |
| Medica | Minnesota Care/AccessAbility/Choice Care Government | $423 |
| Medica | MSHO | $478 |
| UCare | PMAP | $498 |
| America's PPO | EZCare | $619 |
| United Healthcare | Core | $630 |
| Blue Cross of Minnesota | Aware Federal | $668 |
| United Healthcare | Commercial | $679 |
| Blue Cross of Minnesota | Commercial | $680 |
| Sanford Health Plan | Commercial | $700 |
| America's PPO | Health EZ | $701 |
| Medica | BOLD | $723 |
| Medica | City of St Paul and Essential/Uplan | $723 |
| Medica | Vantage SI | $723 |
| Health Partners | Federal | $728 |
| Health Partners | Commercial | $741 |
| America's PPO | Commercial | $760 |
| Health Partners | Cigna Commercial | $778 |
| Medica | Choice | $804 |
| Medica | Individual and Family, Elect | $804 |
| Security Health Plan | Commercial | $892 |
| Health Partners | Cigna Great West | $926 |
| First Health | Commercial | $975 |
| MultiPlan | Commercial | $1,011 |
| Private Healthcare Systems | Commercial | $1,011 |
| Wisconsin Physician Services | Commercial | $1,070 |
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