CT head without contrast at Froedtert Community Hospital - Mequon. CPT 70450.
What Froedtert Community Hospital - Mequon publishes for this service, straight from its standard-charges file, last updated December 31, 2025.
Outpatient / ER
$1,131cash price (self-pay)
$2,056list price
$103–$1,809range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Anthem Blue Cross Blue Shield | Medicare Advantage | $103 |
| Care Wisconsin | Medicare Advantage | $103 |
| Community Care | Medicare Advantage | $103 |
| Health Partners | Medicare Advantage | $103 |
| Humana | Medicare Advantage | $103 |
| ICare | Medicare Advantage | $103 |
| Molina | Medicare Advantage | $103 |
| Network Health Plan | Medicare Advantage | $103 |
| Security Health Plan Secure Savers | Medicare Advantage | $103 |
| United Healthcare | Medicare Advantage | $103 |
| Network Health Plan | ACA | $745 |
| United Healthcare | Nexus | $811 |
| Chorus Community Health Plan | All Contracted Commercial Plans | $822 |
| Medical College of Wisconsin | Employee Plan | $822 |
| Network Health Plan | All Contracted Commercial Payers | $827 |
| Centivo | WI 2 Median | $884 |
| United Healthcare | Choice Plus/Navigate | $954 |
| Centivo | WI 1 Broad | $1,028 |
| Anthem Blue Cross Blue Shield | Blue Preferred/HMO/POS | $1,048 |
| United Healthcare | Options PPO | $1,136 |
| Cigna | All Contracted Commercial Plans | $1,207 |
| Common Ground | All Contracted Commercial Plans | $1,233 |
| Sheboygan Employers Health Network | All Contracted Commercial Payers | $1,233 |
| Wisconsin Physician Services | All Contracted Commercial Plans | $1,233 |
| Health Payment Systems | All Contracted Commercial Plans | $1,256 |
| Health Partners | All Contracted Commercial Payers | $1,336 |
| Trilogy | All Contracted Commercial Plans | $1,336 |
| Anthem Blue Cross Blue Shield (Healthlink) | Federal/Out of State/PPO | $1,362 |
| Americas Choice | PPO | $1,788 |
| HealthEos | All Contracted Commercial Plans | $1,788 |
Inpatient
$1,131cash price (self-pay)
$2,056list price
$1,233–$1,809range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Common Ground | All Contracted Commercial Plans | $1,233 |
| Health Payment Systems | All Contracted Commercial Plans | $1,256 |
| Trilogy | All Contracted Commercial Plans | $1,336 |
| Americas Choice | PPO | $1,788 |
| HealthEos | All Contracted Commercial Plans | $1,788 |
| Multiplan/Private Healthcare Systems | All Contracted Commercial Plans | $1,788 |
| First Health Network | All Contracted Commercial Plans | $1,809 |
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All common services at Froedtert Community Hospital - Mequon