CT head without contrast at Medina Regional Hospital. CPT 70450.
What Medina Regional Hospital publishes for this service, straight from its standard-charges file, last updated July 29, 2026.
Outpatient / ER
$1,865cash price (self-pay)
$2,072list price
$135–$2,072range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna | Managed Medicaid | $135 |
| Amerigroup | CHIP/Managed Medicaid | $135 |
| Amerigroup | Star Plus | $135 |
| Superior Health Plan | Managed Medicaid | $135 |
| Community First Health Plan | CHIP | $141 |
| Curative | Commercial EPO/PPO | $223 |
| Cigna | Commercial | $400 |
| United Healthcare | Medicare Advantage | $497 |
| Medicare | Medicare | $497 |
| Superior Health Plan | Medicare Advantage | $507 |
| Blue Cross Blue Shield of Texas | Traditional/PPO/Blue Essentitals | $541 |
| Benefit Administrators | Commercial | $577 |
| Community First Health Plan | HIE | $622 |
| Wellpoint | Commercial | $671 |
| Amerivantage | Medicare Advantage | $684 |
| Aetna | Medicare Advantage | $725 |
| Superior Health Plan | Commercial HMO/EPO | $803 |
| Blue Advantage | HMO | $1,036 |
| Aetna | Commercial | $1,243 |
| Community First Health Plan | Managed Medicaid | $1,451 |
| United Healthcare | Commercial | $1,554 |
| Community First Health Plan | HMO | $2,072 |
Inpatient
$1,865cash price (self-pay)
$2,072list price
$577–$1,865range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Benefit Administrators | Commercial | $577 |
| Blue Advantage | HMO | $1,036 |
| Curative | Commercial EPO/PPO | $1,243 |
| Community First Health Plan | HMO | $1,865 |
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