CT head without contrast at Saint Alphonsus Medical Center-Ontario. CPT 70450.
What Saint Alphonsus Medical Center-Ontario publishes for this service, straight from its standard-charges file, last updated March 31, 2026.
Outpatient / ER
$1,085cash price (self-pay)
$1,669list price
$51.90–$1,619range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Medicaid - Id | Medicaid | $67.97 |
| Pacificsource Health Plans | Pacificsource Smart Alliance | $265 |
| Webtpa | Pacific Steel | $329 |
| Blue Cross - Nj (Horizon) Medicaid Advantage | Medicaid | $501 |
| Blue Cross - In (Anthem) Medicaid Advantage | Medicaid | $501 |
| Dean Health Medicaid | Medicaid | $501 |
| Group Health Cooperative Medicaid | Medicaid | $501 |
| Icare Medicaid | Medicaid | $501 |
| Lakeland Care Inc | Medicaid | $501 |
| Hennepin Health | Medicaid | $501 |
| Medicaid MA Qmb | Medicaid | $501 |
| Keystone First Chip | Medicaid | $501 |
| Blue Cross - IL Medicaid Advantage | Medicaid | $501 |
| Cenpatico | Medicaid | $501 |
| Childrens Comm Health Plan | Medicaid | $501 |
| Community Care Medicaid | Medicaid | $501 |
| Pace Of Southwest Michigan | Medicaid | $501 |
| Maryland Breast & Cervical Program | Medicaid | $501 |
| Oregon Screenwise | Medicaid | $501 |
| Screening For Life | Medicaid | $501 |
| Medicaid - NY Ssl | Medicaid | $501 |
| Dph Tb Program | Medicaid | $501 |
| Medicaid - Mt | Medicaid | $501 |
| United Healthcare Medicaid | Medicaid | $501 |
| Medicaid - Ne | Medicaid | $501 |
| Allwell Medicaid Advantage | Medicaid | $501 |
| Iowa Total Care | Medicaid | $501 |
| Blue Plus Mo Medicaid | Medicaid | $501 |
| Medicaid - MA | Medicaid | $501 |
| Medicaid - Mn | Medicaid | $501 |
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All common services at Saint Alphonsus Medical Center-Ontario