CT head without contrast at Limestone Medical Center. CPT 70450.
What Limestone Medical Center publishes for this service, straight from its standard-charges file, last updated March 26, 2026.
Outpatient / ER
$1,286cash price (self-pay)
$2,144list price
$114–$1,715range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| BCBS PPO/Traditional | PPO/Traditional | $114 |
| BCBS HMO Blue Advantage | HMO | $114 |
| Texas Medicaid | UNKNOWN | $135 |
| WellMed Medicare Advantage | Medicare Advantage | $622 |
| United Health - Medicare Advantage | Medicare Advantage | $622 |
| BCBS Medicare Advantage | Medicare Advantage | $622 |
| Humana Medicare Advantage | Medicare Advantage | $622 |
| PPHP | Medicare Advantage | $634 |
| UHC Commercial | PPO/HMO | $1,325 |
| Cigna Commercial | PPO | $1,501 |
| Humana Commercial | PPO/HMO | $1,608 |
| Aetna Commercial | PPO/HMO | $1,715 |
Inpatient
$1,286cash price (self-pay)
$2,144list price
$1,325–$1,715range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| UHC Commercial | PPO/HMO | $1,325 |
| Humana Commercial | PPO/HMO | $1,608 |
| Aetna Commercial | PPO/HMO | $1,715 |
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