CT head without contrast at Franklin Country Memorial Hospital. CPT 70450.
What Franklin Country Memorial Hospital publishes for this service, straight from its standard-charges file.
Outpatient / ER
$1,957cash price (self-pay)
$2,174list price
$258–$2,065range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Midlands Choice | PPO | $258 |
| Blue Cross Blue Shield of Nebraska | PPO | $1,440 |
| Blue Cross Blue Shield of Nebraska | Commercial | $1,440 |
| United Healthcare | PPO | $1,797 |
| United Healthcare | Commercial | $1,797 |
| United Healthcare | HMO | $1,797 |
| Aetna | Medicare Advantage | $1,891 |
| Aetna | Commercial | $2,065 |
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