CT head without contrast at Midwest Surgical Hospital. CPT 70450.
What Midwest Surgical Hospital publishes for this service, straight from its standard-charges file, last updated March 5, 2026.
Outpatient / ER
$350cash price (self-pay)
$882list price
$108–$1,097range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Blue Cross Blue Shield of NE | Medicare Advantage | $108 |
| Humana | Medicare Advantage | $108 |
| Molina- Managed Medicaid | IA | $108 |
| WellCare | Medicare Advantage | $108 |
| Molina | Medicare Advantage | $110 |
| United Healthcare | Commercial | $159 |
| Elite Choice (Methodist) | Commercial | $220 |
| Aetna | Commercial | $336 |
| Oscar | Commercial | $651 |
| Medica | IFB Elevate | $932 |
| Medica | Commercial | $1,097 |
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