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CT head without contrast at Northwest Texas Healthcare System Behavioral Health. CPT 70450.

What Northwest Texas Healthcare System Behavioral Health publishes for this service, straight from its standard-charges file, last updated September 1, 2026.

Outpatient / ER

—cash price (self-pay)
$6,431list price
$59.34–$5,145range insurers pay
Insurance planNegotiated rate
Oklahoma | Medicaid$59.34
Superior | Medicaid$105
Molina | Medicaid$110
First_care_chip | Medicaid$115
Wellpoint_starkids | Medicaid$288
Superior_starkids | Medicaid$317
Amerigroup | Medicaid$317
First_care_star | Medicaid$349
Superior_star | Medicaid$349
Superior_star_plus | Medicaid$374
Wellpoint_ Amgrp_star_plus | Medicaid$374
Blue_cross_blue_shield_of_tx | Advantage$384
First_care_star_plus | Medicaid$411
Blue_cross_blue_shield_of_tx | HMO$419
Blue_cross_blue_shield_of_tx | Managed_care$451
Blue_cross_blue_shield_of_tx | PPO$466
Aetna | Managed_care$1,286
Scott_and_white_healthplan | Managed_care$1,736
Cigna | Managed_care$2,135
Multiplan | Managed_care$5,145
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All common services at Northwest Texas Healthcare System Behavioral Health