CT head without contrast at Methodist Le Bonheur Germantown Hospital. CPT 70450.
What Methodist Le Bonheur Germantown Hospital publishes for this service, straight from its standard-charges file, last updated March 19, 2026.
Outpatient / ER
$704cash price (self-pay)
$3,202list price
$50.00–$296range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| BCBS MEDICAID REPLACEMENT [350011] | HB Bluecare Adult Contract | $62.44 |
| BCBS MEDICAID REPLACEMENT [350011] | HB MEDICAID TN - BCBS TennCare Se | $65.10 |
| TRANSPLANT BCBS TENNCARE SELECT [350032] | HB MEDICAID TN - BCBS TennC | $65.10 |
| Magnolia Medicaid [350020] | Hb Medicaid Ms - Magnolia Healthcare - Tn | $81.46 |
| MS - MEDICAID [300025] | HB MEDICAID MS - TN Locations | $81.46 |
| MS - MEDICAID [300025] | HB MEDICAID MS - MAGNOLIA HEALTHCARE - TN Loc | $81.46 |
| Transplant Optum Tenncare [350013] | Hb Medicaid Tn - UHC Tenncare (Am | $97.20 |
| Humana Medicare Advantage [450013] | Hb Medicare Advantage / Managed C | $97.38 |
| Generic Medicare Advantage [459999] | Hb Medicare Advantage / Managed | $97.38 |
| BCBS Medicare Advantage [450110] | Hb Medicare Advantage / Managed Car | $97.38 |
| Healthsprings Medicare Advantage [450007] | Hb Medicare Advantage / MA | $97.38 |
| Generic Hospice Vbid [10940000101] | Hb Medicare Advantage / Managed C | $97.38 |
| Va Ccn UHC [600003] | Hb Va - Tn Contract | $97.38 |
| Healthy Mississippi - Medicare Advantage HMO [450114] | Hb Medicare Ad | $97.38 |
| Medicare [400001] | Hb Medicare-Tn Contract | $97.38 |
| Medipak Advantage - BCBS Ar [450040] | Hb Medicare Advantage / Managed | $97.38 |
| Shared Health Of Ms - Medicare Advantage [450074] | Hb Medicare Advant | $97.38 |
| Wellcare Medicare [450023] | Hb Medicare Advantage Wellcare/Wellpoint | $97.38 |
| United Healthcare Medicare [450021] | Hb Medicare Advantage / Managed | $97.38 |
| Tricare [600001] | Hb Tricare - Tn Contract | $98.35 |
| Devoted Health [450111] | Hb Medicare Advantage Devoted - Tn Contract | $100 |
| Wellpoint Medicaid [350002] | Hb Amerigroup-Wellpoint Tn Adult Contrac | $106 |
| CIGNA [100009] | HB CIGNA HMO - Germantown-North-South-Olive Branch-Ca | $129 |
| CIGNA [100009] | HB CIGNA IFP - Germantown-North-South-Olive Branch-Ca | $141 |
| CIGNA [100009] | HB CIGNA LocalPlus - Germantown-North-South-Olive Br | $149 |
| UNITED HEALTHCARE [100060] | HB XR TN UHC Exchange | $154 |
| CIGNA [100009] | HB Cigna OAP - Germantown-North-South-Olive Branch-C | $165 |
| UNITED HEALTHCARE [100060] | HB UHC All Payer Appendix - MUH-MNH-MSH-M | $179 |
| UNITED HEALTHCARE [100060] | HB UHC Heritage Select Contract | $179 |
| UNITED HEALTHCARE [100060] | HB UHC Core | $179 |
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All common services at Methodist Le Bonheur Germantown Hospital