CT head without contrast at Cibola General Hospital. CPT 70450.
What Cibola General Hospital publishes for this service, straight from its standard-charges file, last updated March 11, 2026.
Outpatient / ER
$601cash price (self-pay)
$2,250list price
$166–$2,025range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Cigna | Cigna | $166 |
| Bcbs_nm_turquoise | BCBS Turquoise Care | $234 |
| Presby_turquoise | Presbyterian Turquoise Care | $234 |
| Molina_turquoise | Molina Turquoise Care | $328 |
| Uhc_turquoise | UHC Turquoise Care | $414 |
| Tricare | Tricare | $665 |
| Medicare | Medicare | $1,012 |
| Presbyterian_srcare | Presbyterian Senior Care | $1,012 |
| Uhc_mcradv | United Healthcare Medicare Advantage | $1,012 |
| Core_civic | Core Civic | $1,022 |
| Humana_mcradv | Humana Medicare Advantage | $1,022 |
| Bcbsnm_community_hmo | BCBS New Mexico Community HMO | $1,091 |
| Selfpay | Self Pay | $1,200 |
| Bcbsnm_bav | BCBS New Mexico Blue Advantage HMO | $1,275 |
| Bcbs_nm | Blue Cross Blue Shield New Mexico | $1,275 |
| Presbyterian_health | Presbyterian Health Commercial | $1,275 |
| Zelis | Zelis | $1,275 |
| First_health | Aetna - Coventry - First Health | $1,320 |
| Humana | Humana | $1,350 |
| UHC | United Healthcare Commercial | $1,350 |
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