CT head without contrast at Black River Memorial Hospital. CPT 70450.
What Black River Memorial Hospital publishes for this service, straight from its standard-charges file, last updated January 8, 2026.
Outpatient / ER
$782cash price (self-pay)
$869list price
$9.70–$1,860range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| My Choice Wisconsin, Inc. | Family Care / Family Care Partnership - Me | $43.22 |
| Anthem BCBS | Medicaid | $43.22 |
| Group Health Cooperative of Eau Claire | Medicaid | $43.22 |
| My Choice Wisconsin, Inc. | Medicaid SSI | $43.22 |
| Quartz Health Solutions, Inc | Medicaid/BadgerCare | $43.22 |
| United Health Care | Medicaid | $43.22 |
| Anthem BCBS | Medicare Advantage | $484 |
| My Choice Wisconsin, Inc. | Medicare Dual Advantage | $484 |
| Quartz Health Solutions, Inc | Senior Preferred | $484 |
| Security Health Plan | Badgercare Plus | $484 |
| Security Health Plan | Medicare Advantage | $484 |
| Humana | Medicare Advantage | $498 |
| United Health Care | Medicare Advantage | $498 |
| Corvel | Automobile liability / Accident & Health | $838 |
| Corvel | Workers' Compensation | $838 |
| Security Health Plan | Commercial | $882 |
| The Alliance | Health Plan | $897 |
| MultiPlan | Health Plan | $945 |
| Security Health Plan | EPO | $1,151 |
| The Alliance | Worker's Compensation | $1,168 |
| Triology Health Solutions | Health Plan | $1,237 |
| Quartz Health Solutions, Inc | Commercial / Self-Insured | $1,250 |
| Humana | Commercial | $1,278 |
| Medica | Health Plan | $1,283 |
| Association Benefits Solution | Health Plan | $1,305 |
| First Health Group Corporation | MultiPlan PPC Network | $1,305 |
| Provider Network of America | Health Plan | $1,305 |
| Triology Health Solutions | Workers Compensation | $1,305 |
| Family Health Center of Marshfield | Health Plan | $1,305 |
| United Health Care | Commercial | $1,307 |
Inpatient
$1,691cash price (self-pay)
$1,879list price
$958–$1,860range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| The Alliance | Health Plan | $1,804 |
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