CT head without contrast at Golden Plains Community Hospital. CPT 70450.
What Golden Plains Community Hospital publishes for this service, straight from its standard-charges file, last updated March 16, 2026.
Outpatient / ER
$1,712cash price (self-pay)
$2,445list price
$219–$1,589range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Blue Cross - Blue Advantage | HMO | $219 |
| Blue Cross Essentials HMO | HMO | $229 |
| Blue Cross PPO / Traditional | PPO/Traditional | $249 |
| Cigna | All Commercial | $450 |
| United Healthcare Medicare Advantage | Medicare Advantage | $562 |
| WellMed | Medicare Advantage | $562 |
| Aetna Medicare Advantage | Medicare Advantage | $562 |
| Humana Medicare Advantage | Medicare Advantage | $562 |
| United Healthcare Commercial | All Commercial | $725 |
| Aetna | All Commercial | $1,589 |
Inpatient
$1,712cash price (self-pay)
$2,445list price
$1,467–$1,663range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Blue Cross - Blue Advantage | HMO | $1,467 |
| Blue Cross Essentials HMO | HMO | $1,540 |
| Aetna | All Commercial | $1,589 |
| Blue Cross PPO / Traditional | PPO/Traditional | $1,663 |
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