CT head without contrast at Baylor Scott & White Mclane Children's Medical Center. CPT 70450.
What Baylor Scott & White Mclane Children's Medical Center publishes for this service, straight from its standard-charges file, last updated June 13, 2026.
Outpatient / ER
$1,655cash price (self-pay)
$2,758list price
$99.77–$2,069range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Baylor Scott & White Health Plan | Medicare Advantage | $99.77 |
| CORVEL | Worker's Compensation | $102 |
| Superior Health Plan | Medicaid | $105 |
| TriWest | Community Care Network | $105 |
| American Health Plan | Medicare Advantage | $110 |
| Blue Cross Blue Shield | Medicare Advantage | $110 |
| ProCare Advantage | Medicare Advantage | $110 |
| United Healthcare | Medicaid/CHIP | $112 |
| United Healthcare | Medicare Advantage | $118 |
| Baylor Scott & White Health Plan | BSW Premier - Small Group | $126 |
| Baylor Scott & White Health Plan | BSW Premier - Individual | $132 |
| Prime Health Services | Worker's Compensation | $132 |
| CareWorks fka Rockport | Worker's Compensation | $157 |
| Sedgwick | Preferred Network | $157 |
| Baylor Scott & White Health Plan | BSW Plus - Small Group | $173 |
| Mark Cuban | Commercial | $272 |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My Blue | $468 |
| Blue Cross Blue Shield | Blue Advantage | $474 |
| Blue Cross Blue Shield | Blue Essentials (HMO) | $542 |
| Blue Cross Blue Shield | BlueChoice (PPO) | $572 |
| Employers Health Network | BSWQA Direct/EHN Rental | $1,296 |
| Imagine Health | Commercial | $1,454 |
| Cigna | Local Plus | $1,466 |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premi | $1,480 |
| Aetna | Commercial | $1,517 |
| QuikTrip | Employee Benefit Plan | $1,517 |
| Employers Health Network | EHN Network | $1,517 |
| MidCoast | Commercial | $1,517 |
| Independent Medical System | Commercial PPO | $1,655 |
| Cigna | HMO/PPO | $1,725 |
Inpatient
$1,655cash price (self-pay)
$2,758list price
$1,517–$1,931range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| QuikTrip | Employee Benefit Plan | $1,517 |
| MidCoast | Commercial | $1,517 |
| Independent Medical System | Commercial PPO | $1,655 |
| Curative | Commercial | $1,793 |
| First Health | PPO | $1,931 |
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All common services at Baylor Scott & White Mclane Children's Medical Center