CT head without contrast at Lonesome Pine Hospital. CPT 70450.
What Lonesome Pine Hospital publishes for this service, straight from its standard-charges file, last updated March 23, 2026.
Outpatient / ER
$532cash price (self-pay)
$3,545list price
$95.95–$3,545range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| United Healthcare | Tenncare United Healthcare | $95.95 |
| Aetna | Aetna Healthcare Medicare | $102 |
| Allcare Medicare | Allcare Medicare | $102 |
| Amerigroup | Amerigroup Medicare Wellpoint | $102 |
| Humana | Humana Medicare | $102 |
| Managed Medicaire | Managed Medicaire | $102 |
| Sentara Health | Sentara Medicare | $102 |
| Aetna | Aetna Better Health Of Virginia Medicare | $105 |
| Blue Cross | Anthem Medicare Virginia | $105 |
| Blue Cross | Blue Cross Medicare | $106 |
| Cigna Healthcare | Cigna Medicare | $107 |
| Devoted Health Plan | Devoted Health Plan Medicare | $107 |
| Molina Healthcare | Molina Healthcare Medicare | $107 |
| Mountain Empire Pace | Mountain Empire Pace | $107 |
| Nhc Advantage | Nhc Advantage | $107 |
| Ambetter | Ambetter | $222 |
| Seven Corners, Inc. | Seven Corners, Inc. | $245 |
| Blue Cross | Blue Cross Ballad Health Employee | $283 |
| Blue Cross | Anthem Exchange | $336 |
| Blue Cross | Anthem HMO | $390 |
| Blue Cross | Blue Cross P Network | $415 |
| Blue Cross | Blue Cross S Network | $415 |
| Blue Cross | Anthem Hlthkeep Mediciad | $420 |
| Optima Health | Optima Health Medicaid | $421 |
| Aetna | Aetna Better Health Of Virginia | $424 |
| Cigna Healthcare | Cigna Individual Family Plan | $427 |
| Molina Healthcare | Molina Healthcare Medicaid | $428 |
| Blue Cross | Anthem PPO, Traditional Indemnity | $459 |
| Cigna Healthcare | Cigna PPO | $618 |
| Cigna Healthcare | Cigna HMO | $642 |
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