CT head without contrast at Medical City Arlington Hospital. CPT 70450.
What Medical City Arlington Hospital publishes for this service, straight from its standard-charges file, last updated September 1, 2026.
Outpatient / ER
$5,963cash price (self-pay)
$5,963list price
$103–$5,963range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Molina | CHIP | $116 |
| Molina | MCDSTAR | $116 |
| United | NarrowNetworkIndivExchange | $155 |
| United | SmallGroup | $155 |
| United | AllPayerAppendix | $245 |
| Superior Health Plan | CHIP | $417 |
| Superior Health Plan | MCDSTAR | $417 |
| Superior Health Plan | STARHealth | $417 |
| Superior Health Plan | STARKids | $417 |
| Superior Health Plan | STARPLUS | $417 |
| Cigna | IFP | $805 |
| Cigna | QHP | $835 |
| United | OptionsPPO | $1,091 |
| Unicare | CHIP | $1,133 |
| Healthcare Highways | CityofPlano | $2,016 |
| BCBS | Traditional | $2,469 |
| City of McKinney | COMM | $2,684 |
| Fidelis SecureCare | MGMCR | $2,684 |
| United | GlobalBenefitPlan | $2,684 |
| Global Sports Services | COMMPPO | $2,982 |
| National ChoiceCare | WCOMP | $2,982 |
| Aetna | ASA | $3,011 |
| Aetna | WCOMP | $3,280 |
| PC Texas Partners | WCOMP | $3,280 |
| Physicians Coop of TX | MGMCR | $3,280 |
| Rockport Health Group | WORKERSCOMP | $3,280 |
| Aetna Coventry First Health | COMM | $3,417 |
| Averde Health, Inc | PPO | $3,459 |
| Coastal Comp Health Networks | WCOMP | $4,174 |
| Mega Life | MGMCRPPO | $4,174 |
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