CT head without contrast at Wj Mangold Memorial Hospital. CPT 70450.
What Wj Mangold Memorial Hospital publishes for this service, straight from its standard-charges file, last updated September 15, 2026.
Outpatient / ER
$1,173cash price (self-pay)
$1,173list price
$132–$906range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Amerigroup | CHIP | $132 |
| Amerigroup | Medicaid | $132 |
| FirstCare | CHIP | $132 |
| FirstCare | Medicaid | $132 |
| Amerigroup | Medicare Advantage | $481 |
| FirstCare | Medicare | $481 |
| Humana | Medicare Advantage | $481 |
| United HealthCare | Mediare Advantage | $481 |
| TriCare | TriCare | $495 |
| United HealthCare | Commercial | $550 |
| FirstCare | Commercial | $800 |
| FirstCare | PPO | $800 |
| Blue Cross Blue Shield | Commercial | $853 |
| Cigna HealthCare | Commercial | $853 |
| TeamChoice | PPO | $853 |
| Aetna Health Inc. | Commercial | $906 |
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