CT head without contrast at Holy Cross Hospital - Davis. CPT 70450.
What Holy Cross Hospital - Davis publishes for this service, straight from its standard-charges file, last updated February 11, 2026.
Outpatient / ER
$1,072cash price (self-pay)
$2,679list price
$48.26–$2,679range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Select Health | Commercial PPO/POS/HMO | $48.26 |
| Managed Medicaid | Managed Medicaid | $52.58 |
| UUHP | Managed Medicaid | $52.58 |
| Humana | Managed Medicare | $60.63 |
| Managed Medicare | Managed Medicare | $60.63 |
| Medicare | Medicare | $60.63 |
| Employer Direct Healthcare | Commercial PPO/POS/HMO | $76.10 |
| MotivHealth | Commercial PPO/POS/HMO | $80.43 |
| Regence Blue Cross Blue Shield | Commercial PAR | $105 |
| Regence Blue Cross Blue Shield | Commercial PPO | $105 |
| Regence Blue Cross Blue Shield | Commercial Savewell | $105 |
| Regence Blue Cross Blue Shield | Commercial UVU | $105 |
| Molina | Commercial PPO/POS/HMO | $142 |
| Cigna Healthcare | Commercial Local Plus | $243 |
| Cigna Healthcare | Commercial HMO/NBP/OAP | $298 |
| Centura Employee Plan | Commercial PPO/POS/HMO/EPO | $337 |
| UUHP | Commercial Health Plus | $389 |
| UUHP | Commercial Healthy Preferred | $419 |
| UUHP | Commercial Healthy Premier | $465 |
| Cigna Healthcare | Commercial All Other | $505 |
| PEHP | Commercial Capital Network | $1,144 |
| Aetna | Commercial Peak Performance | $1,184 |
| PEHP | Commercial Summit | $1,364 |
| Wise | Commercial PPO | $1,393 |
| Aetna | Commercial Standard Network | $1,412 |
| Regence Blue Cross Blue Shield | Commercial Blue Option | $1,487 |
| PEHP | Commercial Advantage | $1,554 |
| PEHP | Commercial Summit Exclusive | $1,554 |
| Deseret Mutual Benefit Administrators | Commercial PPO/POS/HMO | $1,645 |
| Multiplan | Commercial Primary | $1,849 |
Inpatient
$1,072cash price (self-pay)
$2,679list price
$996–$2,679range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Regence Blue Cross Blue Shield | Commercial Savewell | $996 |
| PEHP | Commercial Capital Network | $1,144 |
| Molina | Commercial PPO/POS/HMO | $1,151 |
| Aetna | Commercial Peak Performance | $1,184 |
| Regence Blue Cross Blue Shield | Commercial UVU | $1,228 |
| PEHP | Commercial Summit Exclusive | $1,267 |
| Select Health | Commercial PPO/POS/HMO | $1,317 |
| PEHP | Commercial Summit | $1,364 |
| Aetna | Commercial Standard Network | $1,412 |
| Wise | Commercial PPO | $1,420 |
| Regence Blue Cross Blue Shield | Commercial PPO | $1,444 |
| PEHP | Commercial Advantage | $1,554 |
| Regence Blue Cross Blue Shield | Commercial Blue Option | $1,608 |
| Regence Blue Cross Blue Shield | Commercial PAR | $1,608 |
| Deseret Mutual Benefit Administrators | Commercial PPO/POS/HMO | $1,645 |
| Multiplan | Commercial Primary | $1,849 |
| Aetna | Commercial Signature | $1,947 |
| Aetna | Commercial Extended Network | $2,009 |
| Aetna | Commercial Indemnity | $2,143 |
| Aetna Rental Networks | Commercial PPO/POS/HMO | $2,264 |
| EMI Health | Commercial PPO/POS/HMO | $2,331 |
| Multiplan | Commercial Complementary | $2,438 |
| United Healthcare | Commercial Behavioral Health | $2,679 |
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