CT head without contrast at Dallam Hartley Counties Hospital District. CPT 70450.
What Dallam Hartley Counties Hospital District publishes for this service, straight from its standard-charges file, last updated May 4, 2026.
Outpatient / ER
$73.02cash price (self-pay)
$97.36list price
$38.94–$92.10range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| BCBS Blue Advantage | PPO | $38.94 |
| Baylor Scott and White Medicare Advantage | HMO | $56.47 |
| BCBS Blue Essentials HMO | HMO | $61.34 |
| Cigna Commercial | PPO | $66.20 |
| BCBS Blue Traditional/PPO | PPO | $68.15 |
| United Healthcare Commercial | PPO | $75.94 |
| Provider Network of America | PPO | $84.70 |
| Baylor Scott and White Medicaid Replacement | HMO | $92.10 |
Inpatient
$73.02cash price (self-pay)
$97.36list price
$1.00–$71.07range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| United Healthcare Commercial | PPO | $1.00 |
| BCBS Blue Advantage | PPO | $54.52 |
| BCBS Blue Essentials HMO | HMO | $61.34 |
| BCBS Blue Traditional/PPO | PPO | $68.15 |
| Cigna Commercial | PPO | $71.07 |
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All common services at Dallam Hartley Counties Hospital District