CT head without contrast at TMC Bonham Hospital. CPT 70450.
What TMC Bonham Hospital publishes for this service, straight from its standard-charges file, last updated September 1, 2026.
Outpatient / ER
$2,987cash price (self-pay)
$3,983list price
$139–$2,469range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Molina_chip | Medicaid | $139 |
| Superior_star_plus | Medicaid | $173 |
| Uhc_star_plus | Medicaid | $173 |
| Molina_star_plus | Medicaid | $182 |
| Wellpoint_star_plus | Medicaid | $182 |
| Superior_star | Medicaid | $185 |
| Uhc_star | Medicaid | $185 |
| Molina_star | Medicaid | $194 |
| Superior_chip | Medicaid | $194 |
| Wellpoint | Medicaid | $194 |
| Aetna_medicare | Medicare | $836 |
| Humana_choice_care | Medicare | $836 |
| United_healthcare | Medicare | $836 |
| Ambetter | Qhp | $1,313 |
| Cigna | HMO | $1,549 |
| Aetna | PPO | $2,079 |
| Blue_cross_blue_shield_of_tx | Managed_care | $2,469 |
| Blue_cross_blue_shield_of_tx | HMO | $2,469 |
| Blue_cross_blue_shield_of_tx | PPO | $2,469 |
| Blue_cross_blue_shield_of_tx | Qhp | $2,469 |
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