CT head without contrast at St. Luke's Health Memorial San Augustine. CPT 70450.

What St. Luke's Health Memorial San Augustine publishes for this service, straight from its standard-charges file, last updated February 28, 2026.

Outpatient / ER

$815cash price (self-pay)

$5,436list price

$96.94–$5,653range insurers pay

Insurance plan	Negotiated rate
AETNA \| Medicare\|All Plans	$96.94
HUMANA \| Medicare\|All Plans	$96.94
Wellpoint \| Medicare\|All Plans	$99.85
CIGNA HEALTHSPRING \| Medicare\|All Other Plans	$102
CIGNA HEALTHSPRING \| Medicare\|PPO	$103
BCBS \| Medicare\|All Plans	$106
UNITED \| Medicare\|All Plans	$106
SCANHealth \| Medicare\|All Plans	$108
MD Save \| Commercial\|All Plans	$121
BCBS-TX \| Commercial\|Blue Advantage HMO	$129
SUPERIOR \| Medicaid\|All Other Plans	$132
SUPERIOR \| Medicaid\|STARPLUS	$132
UNITED \| Medicaid\|All Other Plans	$132
UNITED \| Medicaid\|STAR	$132
Wellpoint \| Medicaid\|All Other Plans	$132
CIGNA HEALTHSPRING \| Medicaid\|STARPLUS	$135
TCHP \| Medicaid\|All Plans	$135
Wellpoint \| Medicaid\|STARPLUS	$136
BCBS \| Medicaid\|All Plans	$139
Wellpoint \| Commercial\|Exchange	$158
SUPERIOR \| Medicaid\|STAR	$207
Wellpoint \| Medicaid\|STAR	$207
UNITED \| Medicaid\|STARPLUS	$236
Angelina County \| Commercial\|All Plans	$265
Brookshire Brothers \| Commercial\|All Plans	$291
BCBS-TX \| Commercial\|Blue Premier	$353
BCBS-TX \| Commercial\|HMO	$371
BCBS-TX \| Commercial\|PPO	$447
United \| Commercial\|Exchange	$978
Cigna \| Commercial\|All Plans	$1,103

$815cash price (self-pay)

$5,436list price

$1,359–$5,436range insurers pay

Insurance plan	Negotiated rate
Aetna \| Commercial\|All Plans	$1,359
Humana \| Commercial\|All Plans	$3,805
Multiplan \| Commercial\|All Plans	$3,805
PHCS \| Commercial\|All Plans	$4,349
Galaxy \| Commercial\|All Plans	$4,892
United \| Commercial\|Exchange	$5,436

Billed more than this?

Snap a photo of your bill. We compare every line with these prices and coding rules, free.