CT head without contrast at Legacy Good Samaritan Medical Center. CPT 70450.
What Legacy Good Samaritan Medical Center publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$198cash price (self-pay)
$824list price
$116–$463range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Kaiser | Medicare Managed Care Plan | $116 |
| Atrio | Medicare Managed Care Plan | $120 |
| Aetna | All Commercial Plans | $120 |
| Aetna | Medicare Managed Care Plan | $122 |
| HealthNet | Medicare Managed Care Plan | $123 |
| CareOregon | Medicare Managed Care Plan | $126 |
| Ageright | Medicare Managed Care Plan | $128 |
| Moda | Medicare Managed Care Plan | $130 |
| PacificSource | Navigator All Commercial Plans | $149 |
| Kaiser | PEBB Other Commercial Plan | $232 |
| Cigna | All Commercial Plans | $304 |
| Cigna | LocalPlus All Commercial Plans | $304 |
| BCBS | Regence - Legacy LHP All Commercial Plans | $316 |
| PacificSource | Voyager All Commercial Plans | $341 |
| HealthNet | All Commercial Plans | $408 |
| BCBS | Regence - Blue HPN All Commercial Plans | $442 |
| Moda | All Commercial Plans | $449 |
| BCBS | Regence All Commercial Plans | $463 |
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