CT head without contrast at Medical City Fort Worth Hospital. CPT 70450.
What Medical City Fort Worth Hospital publishes for this service, straight from its standard-charges file, last updated September 1, 2026.
Outpatient / ER
$5,552cash price (self-pay)
$5,552list price
$105–$5,552range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Molina | CHIP | $116 |
| Molina | MCDSTAR | $116 |
| Molina | STAR+PLUS | $116 |
| Molina | STARKIDS | $116 |
| United | NarrowNetworkIndivExchange | $155 |
| United | SmallGroup | $155 |
| United | AllPayerAppendix | $245 |
| Superior Health Plan | CHIP | $389 |
| Superior Health Plan | MCDSTAR | $389 |
| Superior Health Plan | STARHealth | $389 |
| Superior Health Plan | STARKids | $389 |
| Superior Health Plan | STARPLUS | $389 |
| Cigna | IFP | $749 |
| Cigna | QHP | $777 |
| Unicare | CHIP | $1,221 |
| Healthcare Highways | CityofPlano | $1,876 |
| BCBS | Traditional | $2,298 |
| City of McKinney | COMM | $2,498 |
| Fidelis SecureCare | MGMCR | $2,498 |
| National ChoiceCare | WCOMP | $2,776 |
| Aetna | ASA | $2,804 |
| Cigna Lifesource | COMM | $2,942 |
| Aetna | WCOMP | $3,053 |
| PC Texas Partners | WCOMP | $3,053 |
| Physicians Coop of TX | MGMCR | $3,053 |
| Rockport Health Group | WORKERSCOMP | $3,053 |
| Aetna Coventry First Health | EXCLUSIVE | $3,181 |
| Aetna Coventry First Health | NONEXCLUSIVE | $3,181 |
| Averde Health, Inc | PPO | $3,220 |
| Emerging Therapy Solutions | Commercial | $3,720 |
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