CT head without contrast at Jackson County Memorial Hospital. CPT 70450.
What Jackson County Memorial Hospital publishes for this service, straight from its standard-charges file, last updated December 31, 2025.
Outpatient / ER
$2,314cash price (self-pay)
$2,314list price
$108–$2,198range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Coventry | Medicare Advantage | $108 |
| Humana | Medicare Advantage | $108 |
| Humana | Veteran Services Project Hero | $108 |
| Blue Cross Blue Shield Of Oklahoma | Blue Advantage | $372 |
| Blue Cross Blue Shield Of Oklahoma | Blue Choice | $372 |
| Blue Cross Blue Shield Of Oklahoma | Blue Lincs | $372 |
| Blue Cross Blue Shield Of Oklahoma | Blue Preferred | $372 |
| Blue Cross Blue Shield Of Oklahoma | Blue Traditional | $372 |
| Healthcare Highways | Sync PPO | $1,388 |
| United Healthcare | PPO | $1,574 |
| Oklahoma Health Network (OHN) | PPO | $1,620 |
| Coventry | PPO | $1,712 |
| Coventry | First Health PPO | $1,851 |
| Phcs | Multiplan Savility PPO | $1,851 |
| Aetna | Gatekeeper | $1,921 |
| Aetna | Non Gatekeeper | $1,967 |
| Cigna | PPO | $1,967 |
| Phcs | Multiplan PPO | $2,083 |
| Preferred Community Choice | PPO | $2,083 |
| Humana | PPO | $2,198 |
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