CT head without contrast at Samaritan Pacific Communities Hospital. CPT 70450.
What Samaritan Pacific Communities Hospital publishes for this service, straight from its standard-charges file, last updated January 31, 2026.
Outpatient / ER
$112cash price (self-pay)
$140list price
$34.34–$1,121range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Devoted Health | Medicare Advantage - Midlevel - Nonfac | $37.94 |
| Devoted Health | Medicare Advantage - Midlevel - Fac | $37.94 |
| Healthnet | Medicare Advantage - Midlevel - Nonfac | $37.94 |
| DEVOTED HEALTH | Medicare Advantage-NONFAC | $43.95 |
| DEVOTED HEALTH | Medicare Advantage-FAC | $43.95 |
| Healthnet | Medicare Advantage - Fac | $44.64 |
| Cigna | Facility | $59.07 |
| Cigna | Nonfacility | $59.07 |
| Aetna | Nonfac - Midlevel Lcsw/Lpc/Rdn | $68.09 |
| Aetna | Fac - Midlevel Lcsw/Lpc/Rdn | $68.09 |
| Aetna | Nonfac - Midlevel Np-Pa-Cnm | $77.17 |
| Aetna | Fac - Optometrists - Pyschologists- Pt-St-Ot | $77.17 |
| Aetna | Nonfac - Optometrists - Pyschologists- Pt-St-Ot | $77.17 |
| Aetna | Fac - Midlevel Np-Pa-Cnm | $77.17 |
| Providence | Medicare Adv. - Physician | $84.00 |
| First Choice | Facility | $90.60 |
| First Choice | Nonfacility | $90.60 |
| Aetna | Fac - Psychiatric Np | $90.79 |
| Aetna | Nonfac - Psychiatric Np | $90.79 |
| Aetna | Fac - Md-Do | $90.79 |
| Aetna | Nonfac - Md-Do | $90.79 |
| Healthnet | Nonfacility | $91.54 |
| Providence | Medicare Adv. | $380 |
| Humana | Medicare Adv. | $383 |
| Samaritan | Medicare Adv. | $383 |
| Regence | Medicare Adv. | $417 |
| Pacificsource | Medicare Adv. | $425 |
| Devoted Health | Devoted Health Mcr Advantage | $436 |
| Samaritan | Samaritan Choice | $505 |
| Samaritan | Samaritan Group | $534 |
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All common services at Samaritan Pacific Communities Hospital