CT head without contrast at Methodist Fremont Hospital. CPT 70450.
What Methodist Fremont Hospital publishes for this service, straight from its standard-charges file, last updated February 16, 2026.
Outpatient / ER
$1,319cash price (self-pay)
$3,566list price
$114–$3,423range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna | Aetna Medicare Advantage | $114 |
| BCBS | BCBS Medicare Advantage | $114 |
| Humana | Humana Medicare Advantage | $114 |
| Medica | Medica Medicare Advantage | $114 |
| United Healthcare | UHC Medicare Advantage | $114 |
| Wellcare Medicare Advantage | Wellcare Medicare Advantage by NE Total | $114 |
| Molina Medicare Advantage | Molina Medicare Advantage | $117 |
| Ambetter by NE Total Care | Ambetter by NE Total Care | $237 |
| Elite Choice | Elite Choice | $237 |
| BCBS | BCBS | $835 |
| BCBS | BCBS Select | $835 |
| Alliance NHN | Alliance NHN | $986 |
| Elevate by Medica | Elevate by Medica | $1,605 |
| NE Furniture Mart | NE Furniture Mart | $2,960 |
| United Healthcare | UHC | $3,003 |
| Medica Choice | Medica Choice | $3,138 |
| Multiplan | Multiplan | $3,209 |
| Midlands Choice | Midlands Choice | $3,352 |
| Aetna | Aetna | $3,423 |
Inpatient
$1,319cash price (self-pay)
$3,566list price
$2,960–$3,423range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| NE Furniture Mart | NE Furniture Mart | $2,960 |
| BCBS | BCBS | $3,031 |
| BCBS | BCBS Select | $3,031 |
| Medica Choice | Medica Choice | $3,138 |
| Multiplan | Multiplan | $3,209 |
| United Healthcare | UHC | $3,213 |
| Midlands Choice | Midlands Choice | $3,352 |
| Aetna | Aetna | $3,423 |
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