CT head without contrast at Medical City Lewisville Hospital. CPT 70450.
What Medical City Lewisville Hospital publishes for this service, straight from its standard-charges file, last updated September 1, 2026.
Outpatient / ER
$4.31cash price (self-pay)
$7,017list price
$0.30–$7,017range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Molina | CHIP | $116 |
| Molina | MCDSTAR | $116 |
| Molina | STAR+PLUS | $116 |
| United | NarrowNetworkIndivExchange | $155 |
| United | SmallGroup | $155 |
| United | AllPayerAppendix | $245 |
| Superior Health Plan | CHIP | $491 |
| Superior Health Plan | MCDSTAR | $491 |
| Superior Health Plan | STARHealth | $491 |
| Superior Health Plan | STARKids | $491 |
| Superior Health Plan | STARPLUS | $491 |
| Cigna | IFP | $947 |
| Cigna | QHP | $982 |
| United | OptionsPPO | $1,354 |
| Unicare | CHIP | $1,684 |
| Healthcare Highways | CityofPlano | $2,372 |
| BCBS | Traditional | $2,905 |
| City of McKinney | COMM | $3,157 |
| Fidelis SecureCare | MGMCR | $3,157 |
| United | GlobalBenefitPlan | $3,157 |
| National ChoiceCare | WCOMP | $3,508 |
| Aetna | ASA | $3,543 |
| Aetna | WCOMP | $3,859 |
| PC Texas Partners | WCOMP | $3,859 |
| Physicians Coop of TX | MGMCR | $3,859 |
| Rockport Health Group | WORKERSCOMP | $3,859 |
| Aetna Coventry First Health | COMM | $4,021 |
| Averde Health, Inc | PPO | $4,070 |
| USC Health Services | COMM | $4,210 |
| Coastal Comp Health Networks | WCOMP | $4,912 |
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