CT head without contrast at Baylor Scott & White Medical Center - Grapevine. CPT 70450.
What Baylor Scott & White Medical Center - Grapevine publishes for this service, straight from its standard-charges file, last updated June 29, 2026.
Outpatient / ER
$1,907cash price (self-pay)
$3,179list price
$99.94–$2,384range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Baylor Scott & White Health Plan | Medicare Advantage | $99.94 |
| CORVEL | Worker's Compensation | $102 |
| Superior Health Plan | Medicaid | $105 |
| Aetna | Medicare Advantage | $105 |
| Humana | Medicare | $105 |
| TriWest | Community Care Network | $105 |
| Aetna | Medicaid | $107 |
| American Health Plan | Medicare Advantage | $110 |
| Blue Cross Blue Shield | Medicare Advantage | $110 |
| HealthSpring | Medicare Advantage | $110 |
| ProCare Advantage | Medicare Advantage | $110 |
| Superior Health Plan | Medicare | $110 |
| 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 | $133 |
| Sedgwick | Preferred Network | $157 |
| Baylor Scott & White Health Plan | BSW Plus - Small Group | $174 |
| Superior Ambetter | Ambetter Exchange | $226 |
| Mark Cuban | Commercial | $272 |
| Blue Cross Blue Shield | Blue Advantage | $367 |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My Blue | $520 |
| Blue Cross Blue Shield | City of Dallas | $698 |
| Blue Cross Blue Shield | Blue Essentials (HMO) | $736 |
| Blue Cross Blue Shield | BlueChoice (PPO) | $776 |
| Imagine Health | Commercial | $1,454 |
| Employers Health Network | BSWQA Direct/EHN Rental | $1,494 |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premi | $1,557 |
| Cigna | Local Plus | $1,673 |
| Aetna | Commercial | $1,748 |
| QuikTrip | Employee Benefit Plan | $1,748 |
Inpatient
$1,907cash price (self-pay)
$3,179list price
$1,748–$2,225range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| QuikTrip | Employee Benefit Plan | $1,748 |
| Curative | Commercial | $2,066 |
| First Health | PPO | $2,225 |
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All common services at Baylor Scott & White Medical Center - Grapevine