CT head without contrast at Franciscan Healthcare. CPT 70450.
What Franciscan Healthcare publishes for this service, straight from its standard-charges file, last updated March 18, 2026.
Outpatient / ER
$3,465cash price (self-pay)
$3,465list price
$42.83–$3,326range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Medica | Medicare Advantage | $114 |
| Humana | Medicare Advantage | $114 |
| Blue Cross Blue Shield of Nebraska | Medicare Advantage | $114 |
| Nebraska Total Care | Medicare Products | $116 |
| Molina Healthcare of Nebraska | Medicare Advantage | $120 |
| Good Samaritan Insurance Plan of Nebraska | Medicare Advantage | $120 |
| Aetna | Medicare Advantage | $120 |
| United Healthcare of the Midlands | Community Plan | $1,317 |
| Nebraska Total Care | Managed Medicaid | $1,317 |
| Molina Healthcare of Nebraska | Managed Medicaid/CHIP | $1,351 |
| Blue Cross Blue Shield of Nebraska | Blueprint Health | $1,371 |
| Medica | Commercial Products | $3,153 |
| United Healthcare | All Commercial Plans | $3,326 |
| Midlands Choice | All Plans | $3,326 |
| Medica | Individual and Family Business Products-Care System Products | $3,326 |
| Aetna Coventry | HMO | $3,326 |
Inpatient
$3,465cash price (self-pay)
$3,465list price
$1,733–$3,326range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Molina Healthcare of Nebraska | Managed Medicaid/CHIP | $1,733 |
| Blue Cross Blue Shield of Nebraska | Blueprint Health | $3,292 |
| Aetna Coventry | HMO | $3,326 |
| Midlands Choice | All Plans | $3,326 |
| United Healthcare | All Commercial Plans | $3,326 |
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