CT head without contrast at Lake Granbury Medical Center. CPT 70450.
What Lake Granbury Medical Center publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$209cash price (self-pay)
$5,140list price
$69.60–$8,663range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| NODE Tricare | NODE Tricare | $99.77 |
| NODE ChampVA | NODE ChampVA | $105 |
| NODE Aetna CHIP Medicaid TX | NODE Aetna CHIP Medicaid TX | $132 |
| NODE Cook Childrens Health Plan CHIP Medicaid TX | NODE Cook Childrens | $132 |
| Medicaid | NODE TX Medicaid | $132 |
| NON PAR TX Medicaid | NODE TX Medicaid NON PAR | $132 |
| NODE UHC CHIP/STAR KIDS Medicaid TX | NODE UHC CHIP Medicaid TX | $132 |
| NODE UHC STAR KIDS Medicaid TX | NODE UHC STAR KIDS Medicaid TX | $132 |
| NODE UHC STAR Medicaid TX | NODE UHC STAR Medicaid TX | $132 |
| Healthspring | NODE Cigna Healthspring Medicaid TX | $139 |
| NODE Molina CHIP Medicaid TX | NODE Molina CHIP Medicaid TX | $139 |
| NODE Molina Medicaid TX | NODE Molina STAR Medicaid TX | $139 |
| NODE Superior CHIP/STAR KIDS/ STAR HEALTH Medicaid TX | NODE Superior | $152 |
| NODE Superior STAR KIDS Medicaid TX | NODE Superior STAR KIDS Medicaid | $152 |
| Superior | NODE Superior STAR Medicaid TX | $152 |
| NODE Superior STAR PLUS Medicaid TX | NODE Superior STAR PLUS Medicaid | $152 |
| NODE Aetna STAR KIDS Medicaid TX | NODE Aetna STAR KIDS Medicaid TX | $180 |
| NODE Cook Childrens Health Plan STAR KIDS Medicaid TX | NODE Cook Chil | $180 |
| BCBS TX | BCBS TX Blue ADV | $213 |
| United Healthcare | NODE UHC STAR PLUS Medicaid TX | $409 |
| NODE Molina STAR PLUS Medicaid TX | NODE Molina STAR PLUS Medicaid TX | $430 |
| Aetna | NODE Aetna STAR Medicaid TX | $475 |
| NODE Cook Childrens Health Plan Medicaid TX | NODE Cook Childrens Heal | $475 |
| Amerigroup | NODE Wellpoint CHIP Medicaid TX | $734 |
| BCBS TX | BCBS TX HMO | $1,105 |
| BCBS TX | BCBS TX PPO Trad | $1,105 |
| CHS Group Health Plan BCBST | CHS Group Health Plan BCBST | $1,295 |
| Cigna | Cigna New Business | $1,305 |
| Cigna | Cigna ALL | $2,025 |
| Aetna | Aetna Whole Health | $2,338 |
Inpatient
$313cash price (self-pay)
$5,140list price
$128–$8,663range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Self Pay | Self Pay | $565 |
| CHS Group Health Plan BCBST | CHS Group Health Plan BCBST | $1,295 |
| Cigna | Cigna New Business | $1,305 |
| United Healthcare | UHC APA | $2,185 |
| Aetna | Aetna Whole Health | $2,338 |
| Aetna | Aetna NBD | $2,467 |
| Aetna | Aetna PPO HMO | $2,750 |
| Healthsmart | Healthsmart ACCEL | $2,827 |
| Aetna | Aetna NAB First Health Rental | $2,924 |
| Aetna | Aetna Auto | $3,531 |
| Healthsmart | Healthsmart PPO HPO | $3,598 |
| Santa Fe Hospital Association | Santa Fe Hospital Association | $4,112 |
| Multiplan | Multiplan Complementary | $4,523 |
| Galaxy Health | Galaxy Health PPO | $4,883 |
| MedCorp Southwest | MedCorp Southwest | $4,883 |
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