CT head without contrast at Forks Community Hospital. CPT 70450.
What Forks Community Hospital publishes for this service, straight from its standard-charges file, last updated July 9, 2026.
Outpatient / ER
$596cash price (self-pay)
$2,060list price
$258–$3,374range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Molina Medicare | Molina Medicare | $318 |
| Molina Medicaid | Molina Medicaid | $712 |
| Regence Medicaid | Regence Medicaid | $712 |
| Amerigroup Medicaid-All Plans | Amerigroup Medicaid-All Plans | $755 |
| Coordinated Care (Mco) Mcd-All Plans | Coordinated Care (Mco) Mcd-All | $769 |
| UHC Medicaid | UHC Medicaid | $917 |
| Tricare-All Plans | Tricare-All Plans | $927 |
| Triwest-All Plans | Triwest-All Plans | $927 |
| UHC Mcr Adv | UHC Mcr Adv | $927 |
| Community Health Network Mcr-All Other Plans | Community Health Networ | $927 |
| Humana Mcr Adv - All Plans | Humana Mcr Adv - All Plans | $927 |
| Wellcare Med Adv - All Plans | Wellcare Med Adv - All Plans | $1,075 |
| Ambetter Ccwa Exch - All Plans | Ambetter Ccwa Exch - All Plans | $1,075 |
| Regence-All Other Plans | Regence-All Other Plans | $1,186 |
| Community Health Exchange | Community Health Exchange | $1,339 |
| UHC All Payer/Doctors Plan/Nexus-All Other Plans | UHC All Payer/Docto | $1,751 |
| Molina Commercial-All Other Plans | Molina Commercial-All Other Plans | $1,895 |
| Aetna-All Plans | Aetna-All Plans | $1,957 |
| Premera Blue Cross-All Plans | Premera Blue Cross-All Plans | $1,957 |
| First Choice-All Plans | First Choice-All Plans | $2,060 |
| Cigna-All Plans | Cigna-All Plans | $2,060 |
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