CT head without contrast at CAHRMC, dba Rice Medical Center. CPT 70450.
What CAHRMC, dba Rice Medical Center publishes for this service, straight from its standard-charges file.
Outpatient / ER
$1,123cash price (self-pay)
$1,604list price
$135–$1,604range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Molina Medicaid | Medicaid | $135 |
| BCBS HMO/Blue Essentials | HMO | $402 |
| BCBS PPO/Traditional | PPO | $447 |
| UnitedHealthcare Commercial | PPO | $457 |
| Cigna Commercial | PPO/HMO | $858 |
| Humana Medicare Advantage | Medicare Advantage | $866 |
| Aetna Medicare Advantage | Medicare Advantage | $866 |
| BCBS Medicare Advantage | Medicare Advantage | $875 |
| Aetna Commercial | PPO/HMO | $1,155 |
| TML Intergovernmental Employee Benefits | Unknown | $1,363 |
| Superior | Medicaid | $1,604 |
Inpatient
$1,123cash price (self-pay)
$1,604list price
$1.00–$1,443range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Scott and White Medicaid | Medicaid | $1.00 |
| Wellpoint Medicaid | Medicaid | $1.00 |
| Community Health Choice Medicaid | Medicaid | $1.00 |
| Molina Medicaid | Medicaid | $1.00 |
| BCBS HMO/Blue Essentials | HMO | $962 |
| BCBS Blue Advantage | Blue Advantage | $962 |
| BCBS PPO/Traditional | PPO | $962 |
| Choice One Inc EPO/POS | EPO | $1,155 |
| Medavant Healthcare Solutions | Unknown | $1,283 |
| Choice One Inc PPO | PPO | $1,283 |
| Private Healthcare Systems | Unknown | $1,283 |
| ChoiceCare Network PPO, POS, Med Adv | Medicare Advantage | $1,283 |
| Accountable Health Plans of America | PPO | $1,363 |
| ProAmerica PPO | PPO | $1,363 |
| MedCorp Southwest | Unknown | $1,363 |
| Great West Healthcare of Texas | Unknown | $1,411 |
| Health Industry Trust and Welfare Plan | Unknown | $1,443 |
| Galaxy Health Network | Unknown | $1,443 |
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