CT head without contrast at Covenant Hospital Levelland. CPT 70450.
What Covenant Hospital Levelland publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$748cash price (self-pay)
$1,780list price
$102–$476range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Bcbs | Vapc3 Government | $102 |
| Aetna | Medicare Managed Care Plan | $105 |
| Superior | Wellcare Medicare Managed Care Plan | $110 |
| Unitedhealthcare | Medicare Managed Care Plan | $111 |
| Bcbs | Hmo | $243 |
| Baylor Scott And White | Individual Bsw Premier Exchange | $260 |
| Bcbs | Traditional | $261 |
| Baylor Scott And White | Group Bsw Premier/Covenant Preferred All Comm | $315 |
| Baylor Scott And White | Group Bsw Plus All Commercial Plans | $324 |
| Bcbs | Ers Hmo | $427 |
| Bcbs | Ppo | $476 |
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