CT head without contrast at Iraan General Hospital. CPT 70450.
What Iraan General Hospital publishes for this service, straight from its standard-charges file.
Outpatient / ER
$1,871cash price (self-pay)
$2,673list price
$535–$4,713range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Cigna | Commercial | $535 |
| Aetna | Commercial | $2,138 |
| Blue Cross Blue Shield - Tx | Essentials Network Participation | $2,299 |
| Blue Cross Blue Shield - Tx | Commercial | $2,406 |
| Blue Cross Blue Shield - Tx | PPO | $2,406 |
| Superior HealthPlan | Medicare HMO | $3,318 |
| Superior HealthPlan | Medicare PPO | $3,318 |
| Superior HealthPlan | Commercial | $4,713 |
| Superior HealthPlan | EPO | $4,713 |
| Superior HealthPlan | HMO | $4,713 |
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