CT head without contrast at Aspirus Divine Savior Hospital. CPT 70450.
What Aspirus Divine Savior Hospital publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$274cash price (self-pay)
$1,982list price
$36.36–$1,473range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| United Healthcare Of Wisconsin, Inc. | United Healthcare Medicare Adva | $36.36 |
| Aspirus Health Plan, Inc. | Aspirus Health Plan Medicare Advantage | $36.77 |
| Dean Health Plan | Dean Health Plan Medicare Advantage | $36.77 |
| Humana | Humana Medicare Ppo/Pos/Hmo Network Plans | $36.77 |
| Quartz Health Solutions, Inc. | Quartz Medicare Advantage Plans | $36.77 |
| Anthem Blue Cross Blue Shield Wisconsin | Anthem Medicare Advantage Pl | $37.50 |
| Tricare West | Tricare Plans | $37.52 |
| United Healthcare Of Wisconsin, Inc. | Va Community Care Network | $37.52 |
| Anthem Blue Cross Blue Shield Wisconsin | Anthem Mediblue Dual Hmo Snp | $37.66 |
| Quartz Health Solutions, Inc. | Quartz Wisconsin Medicaid Plans | $42.78 |
| United Healthcare Of Wisconsin, Inc. | United Healthcare Wisconsin Med | $42.78 |
| Dean Health Plan | Dean Health Plan Wisconsin Medicaid Plans | $43.64 |
| Managed Health Services Insurance Corp. | Managed Health Wisconsin Med | $44.92 |
| Anthem Blue Cross Blue Shield Wisconsin | Anthem Mediblue Access Ppo | $70.54 |
| Security Health Plan Of Wisconsin, Inc. | Security Health Plan Wiscons | $71.37 |
| Cigna | Cigna Ppo And Open Access Plus Benefit Plans | $111 |
| Quartz Health Solutions, Inc. | Quartz Fully Insured And Self Insured | $114 |
| Aetna | Medicare Advantage Esa | $165 |
| Anthem Blue Cross Blue Shield Wisconsin | Anthem Wisconsin Medicaid Pl | $193 |
| Aspirus Health Plan, Inc. | Aspirus Health Plan Hmo/Pos | $212 |
| Wps Health Plan | Wps Statewide Ppo/Pos/Epo Plans | $213 |
| Group Health Cooperative Of South Central Wisconsin | Group Health Coo | $251 |
| United Healthcare Of Wisconsin, Inc. | United Healthcare Hmo/Ppo/Pos/E | $293 |
| Anthem Blue Cross Blue Shield Wisconsin | Anthem Blue Preferred Pos | $306 |
| The Alliance (F/K/A Employer Health Care Alliance Cooperative) | The A | $317 |
| Anthem Blue Cross Blue Shield Wisconsin | Anthem Federal Employee Prog | $321 |
| Dean Health Plan | Dean Health Plan Commercial Hmo | $353 |
| Healthpartners | Health Partners Commercial Ppo | $384 |
| Multiplan, Inc | Aetna Health Plan Ppo Networks | $404 |
| Anthem Blue Cross Blue Shield Wisconsin | Anthem Blue Access Ppo | $541 |
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