CT head without contrast at St. Luke's Health - Brazosport Hospital. CPT 70450.
What St. Luke's Health - Brazosport Hospital publishes for this service, straight from its standard-charges file, last updated February 28, 2026.
Outpatient / ER
$2,521cash price (self-pay)
$7,203list price
$107–$3,602range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| BCBS | Medicare|All Plans | $107 |
| CIGNA-HEALTHSPRING | Medicare|All Plans | $107 |
| HUMANA | Medicare|All Plans | $107 |
| KELSEY | Medicare|All Plans | $107 |
| UNITED | Medicare|All Plans | $107 |
| UNITED | Medicaid|All Other Plans | $107 |
| SELECTCARE | Medicare|All Plans | $110 |
| WellcareTP | Medicare|All Plans | $110 |
| BCBS | Medicaid|All Plans | $110 |
| CHC | Medicaid|All Other Plans | $110 |
| SUPERIOR | Medicaid|All Plans | $110 |
| Community Health Choice | Commercial|Exchange | $112 |
| Devoted | Medicare|All Plans | $114 |
| SCANHealth | Medicare|All Plans | $114 |
| CHC | Medicaid|CHIP | $115 |
| UNITED | Medicaid|STAR | $143 |
| CHC | Medicaid|STAR | $148 |
| Ambetter | Commercial|All Plans | $154 |
| Wellpoint | Commercial|Exchange | $160 |
| Aetna | Commercial|Exchange | $164 |
| United | Commercial|Exchange | $165 |
| Bright Health | Commercial|All Plans | $182 |
| BCBS-TX | Commercial|Blue Advantage HMO | $194 |
| Humana | Commercial|All Plans | $276 |
| Entrust | Commercial|All Plans | $287 |
| UNITED | Medicaid|STARPLUS | $327 |
| BCBS-TX | Commercial|Blue Options | $334 |
| BCBS-TX | Commercial|PPO-POS | $345 |
| United | Commercial|All Other Plans | $365 |
| BCBS-TX | Commercial|HMO | $370 |
Inpatient
$2,521cash price (self-pay)
$7,203list price
$3,602–$3,602range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Health First | Commercial|All Plans | $3,602 |
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All common services at St. Luke's Health - Brazosport Hospital