CT head without contrast at Medical City Surgical Hospital Alliance. CPT 70450.
What Medical City Surgical Hospital Alliance publishes for this service, straight from its standard-charges file, last updated September 1, 2026.
Outpatient / ER
$5,881cash price (self-pay)
$5,881list price
$105–$5,881range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Amerigroup | CHIP | $105 |
| Amerigroup | MGMCD | $105 |
| Cigna Healthspring | MGMCD | $110 |
| Aetna Better Health | CHIP | $113 |
| Aetna Better Health | MCD | $113 |
| Molina | CHIP | $116 |
| Molina | MCDSTAR | $116 |
| Molina | STAR+PLUS | $116 |
| Molina | STARKIDS | $116 |
| BCBS | BlueAdvantageHMO | $141 |
| BCBS | MyBlueHealth | $141 |
| United | NarrowNetworkIndivExchange | $155 |
| United | SmallGroup | $155 |
| United | AllPayerAppendix | $245 |
| Superior Health Plan | CHIP | $412 |
| Superior Health Plan | MCDSTAR | $412 |
| Superior Health Plan | STARHealth | $412 |
| Superior Health Plan | STARKids | $412 |
| Superior Health Plan | STARPLUS | $412 |
| BCBS | BlueEssentials | $436 |
| BCBS | BlueEssentialsAccess | $436 |
| BCBS | Eposoa | $457 |
| BCBS | PPO | $479 |
| Cigna | IFP | $794 |
| Aetna | NewBusiness | $801 |
| Cigna | QHP | $823 |
| Aetna | COMM | $856 |
| Aetna | Meritain | $856 |
| Aetna | OON | $1,013 |
| United | OptionsPPO | $1,300 |
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All common services at Medical City Surgical Hospital Alliance