CT head without contrast at St. Charles Prineville. CPT 70450.
What St. Charles Prineville publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$1,586cash price (self-pay)
$1,983list price
$86.94–$1,943range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| MODA MEDICAID [528] | Eastern Oregon CCO | $86.94 |
| OTJ CCMSI [618] | Oregon Workers Compensation | $157 |
| OTJ CHARTIS CLAIMS [650] | Oregon Workers Compensation | $157 |
| OTJ PINNACLE RISK MGMT [661] | Oregon Workers Compensation | $157 |
| AUTO TRAVELERS INSURANCE [615] | Auto Insurance | $157 |
| OTJ ESIS WEST WC CLAIMS [653] | Oregon Workers Compensation | $157 |
| AUTO GEICO CLAIMS OREGON [606] | Auto Insurance | $157 |
| AUTO SAFECO CONCENTRA [600] | Auto Insurance | $157 |
| OTJ BROADSPIRE SERVICES [670] | Oregon Workers Compensation | $157 |
| AUTO LIBERTY MUTUAL AUTO INS [613] | Auto Insurance | $157 |
| OTJ GALLAGHER BASSETT [654] | Oregon Workers Compensation | $157 |
| OTJ PENSER NO AMERICAN [663] | Oregon Workers Compensation | $157 |
| AUTO STATE FARM CLAIMS [609] | Auto Insurance | $157 |
| GENERIC AUTO [649] | Auto Insurance | $157 |
| AUTO COUNTRY INSURANCE CLAIMS [604] | Auto Insurance | $157 |
| KAISER PERMANENTE [334] | OEBB PEBB Non-Contracted | $230 |
| MODA [310] | Moda OEBB PEBB | $249 |
| BRIDGESPAN [342] | Blue Cross Individual | $325 |
| BLUE CROSS [200] | Blue Cross Individual | $325 |
| HEALTHCARE MANAGEMENT ADMIN [201] | Blue Cross PPO | $383 |
| HUMANA MEDICARE [130] | Medicare | $555 |
| ATRIO HEALTH MEDICARE [138] | Medicare | $555 |
| CHAMP VA [700] | Veteran Affairs | $555 |
| INDIAN HEALTH [704] | Medicare | $555 |
| Law Enforcement [701] | Schs Sph Hb Law Enforcement | $555 |
| CIGNA MEDICARE [143] | Medicare | $555 |
| BLUE CROSS MED ADV [125] | Blue Cross Medicare | $611 |
| HEALTH SHARE CARE OREGON [526] | Oregon Medicaid CCO | $694 |
| OREGON MEDICAID [500] | Oregon Medicaid | $694 |
| INTERCOMMUNITY HEALTH [530] | Oregon Medicaid CCO | $694 |
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