CT head without contrast at Boys Town National Research Hospital. CPT 70450.
What Boys Town National Research Hospital publishes for this service, straight from its standard-charges file, last updated December 29, 2025.
Outpatient / ER
$1,090cash price (self-pay)
$1,362list price
$93.36–$1,321range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Amerigroup | Ia Medicaid | $93.36 |
| Nfm Paramount | Ne Med Employee Plan | $575 |
| Molina Of Nebraska | Managed Medicaid | $617 |
| Nebraska Total Care | Managed Medicaid | $617 |
| UHC | Community Medicaid | $617 |
| UHC | All Products | $700 |
| Medica | Chi Health Network | $731 |
| Medica | All Products | $731 |
| Elap Omaha Firefighters | All Products | $749 |
| Aetna | All Products | $1,008 |
| First Health | All Products | $1,008 |
| Methodist | All Products | $1,022 |
| BCBS | All Products | $1,090 |
| Health Partners | All Products | $1,090 |
| Medica | Ifb Network | $1,090 |
| Midlands Choice | All Products | $1,090 |
| Nfm Paramount | Nfm Plan | $1,090 |
| Phcs-Multiplan | All Products | $1,090 |
| BCBS | Wellmark | $1,158 |
| BCBS | Blue Select | $1,321 |
| BCBS | Blueprint | $1,321 |
Inpatient
$1,090cash price (self-pay)
$1,362list price
$749–$1,321range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Phcs-Multiplan | All Products | $1,158 |
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