CT head without contrast at Texoma Medical Center Behavioral Health Center. CPT 70450.
What Texoma Medical Center Behavioral Health Center publishes for this service, straight from its standard-charges file, last updated September 1, 2026.
Outpatient / ER
$5,840cash price (self-pay)
$7,787list price
$95.42–$5,840range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Oklahoma | Medicaid | $95.42 |
| Superior | Medicaid | $107 |
| Molina | Medicaid | $110 |
| Tchp Star | Medicaid | $110 |
| UHC Star Plus | Medicaid | $220 |
| Wellpt Amgrp Str Pls | Medicaid | $220 |
| Superior Hlth Str Pls | Medicaid | $224 |
| Molina Star Plus | Medicaid | $231 |
| Wellpoint Starkids | Medicaid | $244 |
| Healthchoice | Managed_care | $266 |
| Blue_cross_blue_shield_of_tx | Qhp | $356 |
| Amerigroup | Medicaid | $369 |
| UHC Star | Medicaid | $369 |
| Superior Star | Medicaid | $376 |
| Tchp | Medicaid | $387 |
| Blue_cross_blue_shield_of_tx | HMO | $412 |
| Blue_cross_blue_shield_of_tx | PPO | $458 |
| Aetna | Managed_care | $1,986 |
| Coventry_healthfirst | Managed_care | $2,025 |
| Multiplan | Managed_care | $4,150 |
| Humana | Managed_care | $4,540 |
| Healthsmart | Managed_care | $5,840 |
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All common services at Texoma Medical Center Behavioral Health Center