CT head without contrast at Maple Grove Hospital. CPT 70450.
What Maple Grove Hospital publishes for this service, straight from its standard-charges file, last updated September 25, 2026.
Outpatient / ER
$549cash price (self-pay)
$1,042list price
$73.93–$1,432range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Health Partners [1061] | Mgh Hp Govt Msho | $73.93 |
| Blue Cross [1021] | Mgh BCBS Pmap | $84.67 |
| Blue Cross [1021] | Mgh BCBS Msho | $108 |
| Humana [2203] | Mgh Humana Med Adv | $108 |
| Medicare [1088] | Mgh Medicare | $108 |
| Ucare [1148] | Mgh Ucare Pmap | $108 |
| Health Partners [1061] | Mgh Hp Med Adv | $108 |
| Medica [1086] | Mgh Medica Med Adv | $109 |
| Ucare [1148] | Mgh Ucare Med Adv | $111 |
| Blue Cross [1021] | Mgh BCBS Med Adv | $111 |
| Ucare [1148] | Mgh Ucare Msho | $111 |
| United Healthcare [2204] | Mgh UHC Med Adv | $112 |
| Allina Health-Aetna [2201] | Mgh Allina Health Aetna Medicare | $117 |
| Blue Cross [1021] | Mgh Xr Hb BCBS Federal | $191 |
| Blue Cross [1021] | Mgh Xr Hb BCBS Aware | $195 |
| Ucare [1148] | Mgh Ucare Ifb | $197 |
| Cigna Health Partners [1242] | Mgh Hp Cigna | $203 |
| Health Partners [1061] | Mgh Hp Federal | $203 |
| Health Partners [1061] | Mgh Hp Comm | $203 |
| Medica [1086] | Medica Choice Care | $618 |
| America'S PPO [1010] | America'S PPO Healthez Reimbursement Contract | $705 |
| Medica [1086] | Mgh Medica Msho | $715 |
| America'S PPO [1010] | America'S PPO Reimbursement Contract | $750 |
| Phcs [1172] | Phcs Reimbursement Contract | $782 |
| Multiplan [1176] | Multiplan Reimbursement Contract | $834 |
| Medica [1086] | Medica Acclaim | $1,299 |
| Medica [1086] | Medica Fv Nm - Aco Vantage | $1,334 |
| MEDICA [1086] | MEDICA COMMERCIAL (With WH) | $1,432 |
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