CT head without contrast at Great Plains Health. CPT 70450.
What Great Plains Health publishes for this service, straight from its standard-charges file.
Outpatient / ER
$89.00cash price (self-pay)
$1,085list price
$41.00–$1,919range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Ambetter | Commercial | $303 |
| Nebraska Total Care | Medicare Advantage | $532 |
| Molina | Medicare Advantage | $580 |
| Midwest Network Alliance | Owner | $889 |
| Midwest Network Alliance | Non-Owner | $920 |
| Blue Cross and Blue Shield of Nebraska | Commercial | $934 |
| Medica | Commercial | $979 |
| Midlands Choice | Commercial | $1,008 |
| Oscar Health | Midlands Premier | $1,009 |
| Coventry | HMO | $1,020 |
| GEHA | Commercial | $1,020 |
| Coventry | PPO | $1,031 |
| Mutual of Omaha | Commercial | $1,031 |
| United Health Care | Commercial | $1,043 |
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