CT head without contrast at Grand Itasca Clinic and Hospital. CPT 70450.
What Grand Itasca Clinic and Hospital publishes for this service, straight from its standard-charges file, last updated January 28, 2026.
Outpatient / ER
$38.25cash price (self-pay)
$1,172list price
$27.55–$1,602range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Itasca Medical Care | Managed Medicaid | $100 |
| Primewest | Managed Medicaid | $100 |
| Itasca Medical Care | Medicare Advantage/MSHO | $107 |
| Primewest | MSHO | $107 |
| Sanford Health Plan | Medicare Advantage | $107 |
| Security Health Plan | Medicare Advantage | $107 |
| UCare | Medicare Advantage/MSHO | $107 |
| United Healthcare | Medicare Advantage | $107 |
| WellCare | Medicare Advantage | $107 |
| Blue Cross of Minnesota | Medicare Advantage | $111 |
| Health Partners | Medicare Advantage | $113 |
| Medica | Medicare Advantage Non-SNP | $113 |
| UCare | PMAP | $115 |
| Blue Cross of Minnesota | PMAP | $182 |
| UCare | Individual and Family Plans | $210 |
| Medica | Managed Medicaid | $397 |
| Medica | AccessAbility | $434 |
| Medica | MSHO-Dual/Medicare Advantage SNP | $471 |
| Blue Cross of Minnesota | Aware Federal | $480 |
| Blue Cross of Minnesota | Aware/Blue Plus | $488 |
| Health Partners | Medicare Cost | $599 |
| Health Partners | PMAP | $610 |
| Sanford Health Plan | Commercial | $690 |
| United Healthcare | Commercial | $752 |
| Security Health Plan | Commercial | $879 |
| Health Partners | Federal | $948 |
| First Health | Commercial | $961 |
| Health Partners | Commercial | $965 |
| MultiPlan | Commercial | $996 |
| Private Healthcare Systems | Commercial | $996 |
Inpatient
$384cash price (self-pay)
$1,196list price
$411–$1,195range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Health Partners | Medicare Cost | $544 |
| Health Partners | PMAP | $554 |
| Sanford Health Plan | Commercial | $704 |
| Security Health Plan | Commercial | $897 |
| Health Partners | Federal | $935 |
| Health Partners | Commercial | $952 |
| United Healthcare | Commercial | $961 |
| First Health | Commercial | $980 |
| Medica | Commercial | $995 |
| Health Partners | Cigna Commercial | $999 |
| MultiPlan | Commercial | $1,016 |
| Private Healthcare Systems | Commercial | $1,016 |
| Wisconsin Physician Services | Commercial | $1,076 |
| America's PPO | Commercial/EZCare/Health EZ | $1,100 |
| Health Partners | Cigna Great West | $1,190 |
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