CT head without contrast at Cecil R Bomar Rehabilitation Center. CPT 70450.
What Cecil R Bomar Rehabilitation Center publishes for this service, straight from its standard-charges file.
Outpatient / ER
$916cash price (self-pay)
$3,053list price
$105–$3,053range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Humana | Medicare Advantage | $105 |
| WellMed | Medicare Advantage | $105 |
| HealthSpring | Medicare Advantage | $110 |
| United Healthcare | Commercial | $391 |
| HIET Benefit Plan | HIET | $1,069 |
| Blue Cross Blue Shield of Texas | Commercial | $1,679 |
| Blue Cross Blue Shield of Texas | PPO | $1,679 |
| Galaxy | PPO | $1,984 |
| USA Health Network | Commercial | $2,290 |
| Aetna | Commercial | $2,442 |
| Blue Cross Blue Shield of Texas | HMO | $2,442 |
| HealthSmart | Commercial | $2,442 |
| Phcs | PPO | $2,442 |
| Molina | Medicare Advantage | $3,053 |
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