CT head without contrast at CHI Health Lakeside. CPT 70450.

What CHI Health Lakeside publishes for this service, straight from its standard-charges file, last updated February 28, 2026.

Outpatient / ER

$674cash price (self-pay)

$1,604list price

$86.61–$1,363range insurers pay

Insurance plan	Negotiated rate
Amerigroup \| Medicaid\|All Plans	$86.61
Centene \| Medicaid\|IA Total Care	$86.61
IAMolina \| Medicaid\|All Plans	$88.31
BCBS - NE \| Medicare\|All Plans	$104
Humana \| Medicare\|All Plans	$104
Medica \| Medicare\|All Plans	$104
PACE \| Medicare\|All Plans	$104
United \| Medicare\|All Plans	$104
Todays Options \| Medicare\|All Plans	$106
Centene \| Medicare\|All Plans	$107
Amerigroup \| Medicare\|All Plans	$109
Great Plains \| Medicare\|All Plans	$109
Medica \| Commercial\|ACO	$130
Creighton University Employees \| Commercial\|All Plans	$193
Medica \| Commercial\|CHI Health	$212
Medica \| Commercial\|All Other Plans	$222
AMPS \| Commercial\|All Plans	$230
United \| Commercial\|All Plans	$240
Centene \| Medicaid\|NE Total Care	$257
United \| Medicaid\|Community Plan	$257
Greater Omaha Packing \| Commercial\|Narrow Network	$334
Millard Public Schools \| Commercial\|Narrow Network	$334
One World \| Commercial\|Narrow Network	$334
Greater Omaha Packing \| Commercial\|Broad Network	$384
Millard Public Schools \| Commercial\|Broad Network	$384
One World \| Commercial\|Broad Network	$384
Timpte \| Commercial\|Broad Network	$384
ELAP \| Commercial\|All Plans	$449
Medica \| Commercial\|Open Access	$834
Midlands Choice \| Commercial\|Premier	$834

$674cash price (self-pay)

$1,604list price

$962–$1,363range insurers pay

Insurance plan	Negotiated rate
QuikTrip \| Commercial\|All Plans	$962
PHCS \| Commercial\|All Plans	$1,139
MultiPlan \| Commercial\|All Plans	$1,363

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