CT head without contrast at Memorial Medical Center. CPT 70450.
What Memorial Medical Center publishes for this service, straight from its standard-charges file, last updated September 14, 2026.
Outpatient / ER
$1,399cash price (self-pay)
$1,999list price
$354–$1,699range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Blue Cross HMO | Blue Cross HMO | $354 |
| Blue Cross Options | Blue Cross Options | $354 |
| Blue Cross PPO | Blue Cross PPO | $384 |
| Blue Cross Trad-All Other Plans | Blue Cross Trad-All Other Plans | $384 |
| Triwest Va Pccc-All Plans | Triwest Va Pccc-All Plans | $627 |
| Amerigroup Mcr Adv-All Other Plans | Amerigroup Mcr Adv-All Other Plan | $640 |
| Multiplan Mcr Adv | Multiplan Mcr Adv | $640 |
| Superior Allwell Mcr Adv-All Other Plans | Superior Allwell Mcr Adv-Al | $640 |
| Care Improvement Plus - All Other Plans | Care Improvement Plus - All | $640 |
| Coventry First Hlth Mcr Adv | Coventry First Hlth Mcr Adv | $640 |
| UHC Mcr Adv | UHC Mcr Adv | $640 |
| Care Improvement Plus Mcr | Care Improvement Plus Mcr | $646 |
| Universal American Snp | Universal American Snp | $672 |
| Superior Hp Ambetter | Superior Hp Ambetter | $768 |
| Amerigroup Star Kids | Amerigroup Star Kids | $1,131 |
| Amerigroup Star Plus | Amerigroup Star Plus | $1,131 |
| Comm Health Perinatal-All Other Plans | Comm Health Perinatal-All Othe | $1,131 |
| Scott & White Chip/Star-All Plans | Scott & White Chip/Star-All Plans | $1,131 |
| Superior Chip/Star | Superior Chip/Star | $1,131 |
| UHC Star Plus | UHC Star Plus | $1,131 |
| Amerigroup Chip | Amerigroup Chip | $1,131 |
| Amerigroup Star | Amerigroup Star | $1,131 |
| Comm Health Chip | Comm Health Chip | $1,131 |
| Molina Chip/Star-All Plans | Molina Chip/Star-All Plans | $1,131 |
| Texas Childrens Hp - All Plans | Texas Childrens Hp - All Plans | $1,131 |
| Comm Health Star | Comm Health Star | $1,188 |
| Comm Health Mcaid HMO | Comm Health Mcaid HMO | $1,188 |
| Prime Healthcare Services-All Plans | Prime Healthcare Services-All Pl | $1,399 |
| Cigna-All Plans | Cigna-All Plans | $1,499 |
| Aetna-All Plans | Aetna-All Plans | $1,599 |
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