CT head without contrast at Prosser Memorial Hospital. CPT 70450.
What Prosser Memorial Hospital publishes for this service, straight from its standard-charges file, last updated January 1, 2025.
Outpatient / ER
$111cash price (self-pay)
$1,517list price
$22.75–$2,550range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Kaiser Permanente | All Commercial Plans | $285 |
| Community Health Plan of Washington | All Medicaid and Exchange Plans | $313 |
| Coordinated Care | All Medicaid Plans | $313 |
| Kaiser Permanente | All Medicaid Plans | $313 |
| United Healthcare | All Medicaid Plans | $313 |
| Molina | All Medicaid Plans | $329 |
| Amerigroup | All Medicaid Plans | $332 |
| Community Health Plan of Washington | All Medicare Plans | $377 |
| Health Alliance Northwest | All Medicare Plans | $377 |
| Kaiser Permanente | All Medicare Plans | $377 |
| Molina | All Medicare & Marketplace Plans | $377 |
| United Healthcare | All Medicare Plans | $377 |
| Wellcare | All Medicare Plans | $377 |
| Humana | All Medicare Plans | $380 |
| Aetna | All Medicare Plans | $452 |
| Ambetter | All Commercial Plans | $1,032 |
| Premera | All Commercial Plans | $1,160 |
| Asuris | PPO, POS Commercial Plans | $1,163 |
| Health Management Adminstrators | PPO, POS Commercial Plans | $1,163 |
| Regence | PPO, POS & RegenceCare Commercial Plans | $1,163 |
| Cigna | All Commercial Plans | $1,187 |
| Humana | All Commercial Plans | $1,227 |
| Aetna | All Commercial Plans | $1,227 |
| MultiPlan | All Commercial Plans | $1,289 |
| Asuris | All Other Commercial Plans | $1,305 |
| Health Management Adminstrators | All Other Commercial Plans | $1,305 |
| Regence | All Other Commercial Plans | $1,305 |
| United Healthcare | All Commercial Plans | $1,355 |
| First Choice | All Commercial Plans | $2,408 |
Inpatient
$111cash price (self-pay)
$1,517list price
$22.75–$2,578range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Community Health Plan of Washington | All Medicare Plans | $45.02 |
| Health Alliance Northwest | All Medicare Plans | $45.02 |
| Humana | All Medicare Plans | $45.02 |
| Kaiser Permanente | All Medicare Plans | $45.02 |
| Molina | All Medicare & Marketplace Plans | $45.02 |
| United Healthcare | All Medicare Plans | $45.02 |
| Wellcare | All Medicare Plans | $45.02 |
| Aetna | All Medicare Plans | $53.12 |
| Community Health Plan of Washington | All Medicaid and Exchange Plans | $585 |
| Coordinated Care | All Medicaid Plans | $585 |
| Kaiser Permanente | All Medicaid Plans | $585 |
| United Healthcare | All Medicaid Plans | $585 |
| Molina | All Medicaid Plans | $586 |
| Amerigroup | All Medicaid Plans | $620 |
| Ambetter | All Commercial Plans | $1,131 |
| Aetna | All Commercial Plans | $1,156 |
| Premera | All Commercial Plans | $1,160 |
| Asuris | PPO, POS Commercial Plans | $1,163 |
| Health Management Adminstrators | PPO, POS Commercial Plans | $1,163 |
| Regence | PPO, POS & RegenceCare Commercial Plans | $1,163 |
| Cigna | All Commercial Plans | $1,187 |
| Humana | All Commercial Plans | $1,227 |
| Asuris | All Other Commercial Plans | $1,305 |
| Health Management Adminstrators | All Other Commercial Plans | $1,305 |
| Regence | All Other Commercial Plans | $1,305 |
| Kaiser Permanente | All Commercial Plans | $1,332 |
| MultiPlan | All Commercial Plans | $1,360 |
| First Choice | All Commercial Plans | $2,408 |
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