CT head without contrast at WTH Bolivar Hospital. CPT 70450.
What WTH Bolivar Hospital publishes for this service, straight from its standard-charges file, last updated June 2, 2026.
Outpatient / ER
$119cash price (self-pay)
$395list price
$94.80–$794range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Veterans Affairs | Community Care Network | $94.80 |
| Blue Cross Blue Shield of Tennessee | BlueCare | $97.64 |
| Blue Cross Blue Shield of Tennessee | BlueChoice HMO | $97.64 |
| Cigna-HealthSpring | Medicare Advantage | $98.36 |
| River Valley Plan | TennCare | $125 |
| Blue Cross Blue Shield of Tennessee | Network S/E | $145 |
| Blue Cross Blue Shield of Tennessee | Network P | $158 |
| Celtic Insurance Company | Commercial-Exchange | $166 |
| Aetna | Commercial | $273 |
| United Healthcare | All Payer | $363 |
| Oscar | HMO/Medicare Advantage/PPO/EPO/POS | $650 |
| Aetna | AWH/Vanderbilt Health Affiliated Network (VHAN)/VHAN - Employe | $794 |
Inpatient
$119cash price (self-pay)
$395list price
$273–$273range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna | Commercial | $273 |
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