CT head without contrast at Le Bonheur Children's Hospital. CPT 70450.
What Le Bonheur Children's Hospital publishes for this service, straight from its standard-charges file, last updated March 19, 2026.
Outpatient / ER
$740cash price (self-pay)
$3,362list price
$2.28–$3,194range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| CIGNA [100009] | HB Cigna PPO - LeBonheur | $2.28 |
| MS - MEDICAID [300025] | HB MEDICAID MS - TN Locations | $81.46 |
| MS - MEDICAID [300025] | HB MEDICAID MS - MAGNOLIA HEALTHCARE - TN Loc | $81.46 |
| Ms - Medicaid [300025] | Hb Molina Hc Of Ms - Mscan Mlh-Tn Contract | $81.46 |
| Molina Healthcare [350012] | Hb Molina Hc Of Ms - Mscan Mlh-Tn Contrac | $81.46 |
| UHC Medicaid [350006] | Hb UHC Ms Can Mlh-Tn-Leb Contract | $81.46 |
| MS MEDICAID TrueCare [350022] | HB MEDICAID MS - TN Locations | $81.46 |
| Magnolia Medicaid [350020] | Hb Medicaid Ms - Magnolia Healthcare - Tn | $81.46 |
| Alt BCBS MS Medicare [450116] | HB MEDICARE ADVANTAGE / MANAGED CARE - | $97.38 |
| Shared Health Of Ms - Medicare Advantage [450074] | Hb Medicare Advant | $97.38 |
| Alt BCBS TN Medicare [450115] | HB MEDICARE ADVANTAGE / MANAGED CARE - | $97.38 |
| American Health Advantage MCR ADV [450117] | HB MEDICARE ADVANTAGE / M | $97.38 |
| BCBS Medicare Advantage [450110] | Hb Medicare Advantage / Managed Car | $97.38 |
| Humana Medicare Advantage [450013] | Hb Medicare Advantage / Managed C | $97.38 |
| Optum Medicare Advantage [450112] | Hb Medicare Advantage / Managed CA | $97.38 |
| Generic Hospice Vbid [10940000101] | Hb Medicare Advantage / Managed C | $97.38 |
| BCBS MEDICAID REPLACEMENT [350011] | HB BLUECARE TN - LeBonheur | $99.65 |
| Molina Healthcare [350012] | Hb Molina Mschips - Mlh-Tn Contract | $102 |
| Wellpoint Medicaid [350002] | Hb Amerigroup-Wellpoint Lebonheur Cont | $106 |
| BCBS Medicaid Replacement [350011] | Hb Xr Tncare Select Lebonheur Chi | $140 |
| CIGNA [100009] | HB CIGNA IFP - LeBonheur | $141 |
| CIGNA [100009] | HB CIGNA HMO - LeBonheur | $157 |
| CIGNA [100009] | HB CIGNA LocalPlus - LeBonheur | $157 |
| CIGNA [100009] | HB CIGNA OAP – LeBonheur | $162 |
| Ar - Medicaid [300005] | Hb Medicaid-Ar Contract | $165 |
| Ar Medicaid Replacement [350010] | Hb Xr Ar Passe Caid/Caresource/Empo | $165 |
| CIGNA [100009] | HB Cigna EPO Le Bonheur | $247 |
| UNITED HEALTHCARE [100060] | HB UHC Le Bonheur | $252 |
| UNITED HEALTHCARE [100060] | HB UHC FedEx LeBonheur All Payers | $252 |
| Alt BCBS TN Commercial [200008] | HB XR BCBS Network S LeBonheur Child | $306 |
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