CT head without contrast at WTH Dyersburg Hospital. CPT 70450.
What WTH Dyersburg Hospital publishes for this service, straight from its standard-charges file, last updated June 2, 2026.
Outpatient / ER
$119cash price (self-pay)
$395list price
$94.85–$650range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Veterans Affairs | Community Care Network | $94.85 |
| River Valley Plan | TennCare | $95.89 |
| Blue Cross Blue Shield of Tennessee | BlueCare | $97.70 |
| Cigna | HMO/Network/Open Access Plus | $107 |
| Cigna | IFP/LocalPlus | $107 |
| Blue Cross Blue Shield of Tennessee | Network P | $121 |
| Blue Cross Blue Shield of Tennessee | Network S/E | $121 |
| Celtic Insurance Company | Commercial-Exchange | $147 |
| Aetna | Whole Health | $193 |
| Aetna | New Business Discount - Commercial | $202 |
| Aetna | Commercial | $254 |
| Aetna | VHAN - Employee Networks | $312 |
| Home State Health Plan | MO HealthNet Medicaid | $395 |
| Oscar | HMO/Medicare Advantage/PPO/EPO/POS | $650 |
Inpatient
$119cash price (self-pay)
$395list price
$202–$395range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna | New Business Discount - Commercial | $202 |
| Aetna | Commercial | $254 |
| Home State Health Plan | MO HealthNet Medicaid | $395 |
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