CT head without contrast at Adena Pike Medical Center. CPT 70450.
What Adena Pike Medical Center publishes for this service, straight from its standard-charges file, last updated August 19, 2026.
Outpatient / ER
$764cash price (self-pay)
$1,529list price
$214–$1,452range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Molina Marketplace | Commercial | $214 |
| Care Source Just4Me | Commercial | $214 |
| Molina | Medicare Advantage | $367 |
| Humana | Medicare Advantage | $367 |
| Medigold | Medicare Advantage | $367 |
| Medical Mutual of Ohio | Medicare Advantage | $367 |
| Buckeye Community Health Plan | Medicare Advantage | $367 |
| Aetna | Medicare Advantage | $367 |
| Care Source | Medicare Advantage | $374 |
| Anthem | Medicare Advantage | $474 |
| Gateway Health | Commercial | $504 |
| Anthem Ohio Exchange | PPO | $1,007 |
| Anthem Ohio Exchange | HMO | $1,007 |
| Sidecar Health | Commercial | $1,009 |
| The Health Plan | Commercial | $1,070 |
| Ohio PPO Connect | Commercial | $1,070 |
| Medical Mutual of Ohio SuperMed | Commercial | $1,097 |
| Medical Mutual of Ohio | Managed Care | $1,097 |
| Great West Health Care/Cigna | Commercial | $1,107 |
| Anthem | Traditional | $1,133 |
| Ohio Health Choice | Commercial | $1,217 |
| First Health | Commercial | $1,250 |
| Aetna (Cofinity/Meritain) | Commercial | $1,250 |
| United Healthcare | All Plans | $1,281 |
| Anthem Pathway | HMO/PPO | $1,319 |
| Integrated Health Plan | Commercial | $1,437 |
| HealthSmart | Emerald Commercial Products | $1,452 |
| Multiplan/Private Healthcare Systems | Commercial | $1,452 |
| Three Rivers Network | Commercial | $1,452 |
Inpatient
$764cash price (self-pay)
$1,529list price
$969–$1,452range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Anthem Ohio Exchange | PPO | $969 |
| Anthem Ohio Exchange | HMO | $969 |
| The Health Plan | Commercial | $1,070 |
| Ohio PPO Connect | Commercial | $1,070 |
| Medical Mutual of Ohio SuperMed | Commercial | $1,097 |
| Medical Mutual of Ohio | Managed Care | $1,097 |
| Great West Health Care/Cigna | Commercial | $1,107 |
| Anthem | Traditional | $1,133 |
| First Health | Commercial | $1,198 |
| Ohio Health Choice | Commercial | $1,217 |
| Aetna (Cofinity/Meritain) | Commercial | $1,244 |
| Anthem Pathway | HMO/PPO | $1,284 |
| Integrated Health Plan | Commercial | $1,437 |
| HealthSmart | Emerald Commercial Products | $1,452 |
| Multiplan/Private Healthcare Systems | Commercial | $1,452 |
| Three Rivers Network | Commercial | $1,452 |
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