CT head without contrast at Diley Ridge Medical Center. CPT 70450.
What Diley Ridge Medical Center publishes for this service, straight from its standard-charges file, last updated March 31, 2026.
Outpatient / ER
$978cash price (self-pay)
$1,505list price
$88.62–$1,505range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Blue Cross - Oh (Anthem) Medicare Advantage | Anthem BCBS Medicare Adv | $98.79 |
| Caresource Medicare | Caresource Medicare Advantage | $104 |
| Univera Healthcare Medicare Advantage | Universal Medicare Advantage | $106 |
| Blue Cross - Wy | Anthem Blue Access PPO Blue Pref HMO | $376 |
| Blue Cross - Federal | Anthem Blue Access PPO Blue Pref HMO | $376 |
| Blue Shield - NY Highmark Western | Anthem Blue Access PPO Blue Pref H | $376 |
| Blue Cross - Nm | Anthem Blue Access PPO Blue Pref HMO | $376 |
| Blue Cross - NY (Anthem) | Anthem Blue Access PPO Blue Pref HMO | $376 |
| Blue Cross - NY (Excellus) | Anthem Blue Access PPO Blue Pref HMO | $376 |
| Blue Cross - Sd (Wellmark) | Anthem Blue Access PPO Blue Pref HMO | $376 |
| Blue Cross - Ct (Anthem) | Anthem Blue Access PPO Blue Pref HMO | $376 |
| Blue Cross - De (Highmark) | Anthem Blue Access PPO Blue Pref HMO | $376 |
| Blue Cross - Dc (Carefirst) | Anthem Blue Access PPO Blue Pref HMO | $376 |
| Blue Cross - FL | Anthem Blue Access PPO Blue Pref HMO | $376 |
| Blue Cross - Ga (Anthem) | Anthem Blue Access PPO Blue Pref HMO | $376 |
| Blue Cross - Hi | Anthem Blue Access PPO Blue Pref HMO | $376 |
| Blue Cross - Id | Anthem Blue Access PPO Blue Pref HMO | $376 |
| Blue Distinction Transplant | Anthem Blue Access PPO Blue Pref HMO | $376 |
| Blue Cross - Wi (Anthem) | Anthem Blue Access PPO Blue Pref HMO | $376 |
| Blue Cross - Mn | Anthem Blue Access PPO Blue Pref HMO | $376 |
| Blue Cross - Al | Anthem Blue Access PPO Blue Pref HMO | $376 |
| Blue Cross - Ak (Premera) | Anthem Blue Access PPO Blue Pref HMO | $376 |
| Blue Cross - Az | Anthem Blue Access PPO Blue Pref HMO | $376 |
| Blue Cross - Ar | Anthem Blue Access PPO Blue Pref HMO | $376 |
| Crime Victim Assistance | Safe Program | $632 |
| Ohio Safe Program | Safe Program | $632 |
| United Healthcare | United Healthcare Exchange | $715 |
| Mvp | Cigna | $1,126 |
| Healthgram | Cigna | $1,126 |
| American Postal Workers Secondary | Cigna | $1,126 |
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