CT head without contrast at Ascension Seton Edgar B. Davis (Ascension Seton). CPT 70450.
What Ascension Seton Edgar B. Davis (Ascension Seton) publishes for this service, straight from its standard-charges file, last updated January 1, 2026.
Outpatient / ER
$1,365cash price (self-pay)
$3,793list price
$72.22–$1,707range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| BCBS Star | 4221_chirp Blue Cross Star (Ebd) Outpatient 20241201 | $72.22 |
| Dell Star | 4232_chirp Dell Star (Ebd) Outpatient 20241201 | $72.22 |
| Champva | 1136_champva Austin 20180301 | $75.99 |
| BCBS Chip/Chip Perinate | 4168_blue Cross Chip (Chi,Dcn) Outpatient 20 | $107 |
| BCBS Chip/Chip Perinate | 4168_blue Cross Chip/Star Kids (Chi,Dcn) Out | $107 |
| BCBS Star Kids | 5003_blue Cross Star Kids (Chi,Dcn) Outpatient 202412 | $107 |
| Superior Ambetter | 3880_superior Ambetter (Chi,Dcn) Outpatient 202409 | $107 |
| BCBS Chip/Chip Perinate | 3594_blue Cross Chip/Star Kids (Chi,Dcn) Inp | $110 |
| BCBS Star | 3693_chirp Blue Cross Star (Chi,Dcn) Inpatient 20240901 | $110 |
| BCBS Star | 4219_chirp Blue Cross Star (Chi,Dcn) Outpatient 20241201 | $110 |
| Dell Chip/Chip Perinate | 3605_dell Chip/Star Kids (Chi,Dcn) Inpatient | $110 |
| Dell Chip/Chip Perinate | 4179_dell Chip/Star Kids (Chi,Dcn) Outpatien | $110 |
| Dell Star | 3704_chirp Dell Star (Chi,Dcn) Inpatient 20240901 | $110 |
| Dell Star | 4230_chirp Dell Star (Chi,Dcn) Outpatient 20241201 | $110 |
| Superior Ambetter | 3879_superior Ambetter (Chi,Dcn) Inpatient 2024090 | $110 |
| Champva | 1135_champva Rest_tx 20180301 | $112 |
| BCBS Bav Exchange | 4127_blue Cross Blue Shield Bav Exchange 20250101 | $119 |
| BCBS Chip/Chip Perinate | 4170_blue Cross Chip (Ebd) Outpatient 202412 | $135 |
| BCBS Chip/Chip Perinate | 4170_blue Cross Chip/Star Kids (Ebd) Outpati | $135 |
| BCBS Star Kids | 5007_blue Cross Star Kids (Ebd) Outpatient 20241201 | $135 |
| Dell Chip/Chip Perinate | 4181_dell Chip/Star Kids (Ebd) Outpatient 20 | $135 |
| BCBS Chip/Chip Perinate | 3596_blue Cross Chip/Star Kids (Ebd) Inpatie | $137 |
| BCBS Star | 3695_chirp Blue Cross Star (Ebd) Inpatient 20240901 | $137 |
| Dell Chip/Chip Perinate | 3607_dell Chip/Star Kids (Ebd) Inpatient 202 | $137 |
| Dell Star | 3706_chirp Dell Star (Ebd) Inpatient 20240901 | $137 |
| BCBS Hpn | 4440_blue Cross Blue Shield Hpn 20250501 | $411 |
| BCBS Hpn | 4497_blue Cross Blue Shield Hpn (Dell, Williamson,Hays) 202 | $411 |
| BCBS HMO Essentials | 4095_blue Cross Blue Shield HMO Essentials 20250 | $453 |
| BCBS PPO | 4094_blue Cross Blue Shield PPO 20250101 | $501 |
| Aetna Aco HMO | 4489_aetna Aco HMO 20250801 | $507 |
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All common services at Ascension Seton Edgar B. Davis (Ascension Seton)