CT head without contrast at Froedtert Menomonee Falls Hospital. CPT 70450.
What Froedtert Menomonee Falls Hospital publishes for this service, straight from its standard-charges file, last updated December 31, 2025.
Outpatient / ER
$1,330cash price (self-pay)
$2,418list price
$103–$2,176range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Allwell | Medicare Advantage | $103 |
| Anthem Blue Cross Blue Shield | Medicare Advantage | $103 |
| Community Care | Medicare Advantage | $103 |
| Health Partners | Medicare Advantage | $103 |
| Humana | Medicare Advantage | $103 |
| ICare | Medicare Advantage | $103 |
| Network Health Plan | Medicare Advantage | $103 |
| Security Health Plan | Medicare Advantage | $103 |
| United Healthcare | Medicare Advantage | $103 |
| Aetna | Medicare Advantage | $105 |
| Care Wisconsin/MyChoice | Medicare Advantage | $106 |
| Centivo | WI 2 Median | $725 |
| Anthem Blue Cross Blue Shield | HMO | $752 |
| Centivo | WI 1 Broad | $798 |
| UMR | MCW Employees | $798 |
| Network Health Plan | ACA | $930 |
| Froedtert South | All Contracted Commercial Plans | $1,016 |
| Network Health Plan | All Contracted Commercial Plans | $1,033 |
| Chorus Community Health Plan | All Contracted Commercial Plans | $1,040 |
| United Healthcare | Nexus | $1,111 |
| United Healthcare | Choice Plus/Navigate | $1,306 |
| Common Ground | All Contracted Commercial Plans | $1,451 |
| United Healthcare | Options PPO | $1,565 |
| Health Partners | All Contracted Commercial Plans | $1,572 |
| Trilogy | All Contracted Commercial Plans | $1,668 |
| Sheboygan Employers Health Network | All Contracted Commercial Plans | $1,671 |
| Health Payment Systems | All Contracted Commercial Plans | $1,682 |
| Aetna | All Contracted Commercial Plans | $1,693 |
| Aspirus | All Contracted Commercial Plans | $1,934 |
| IBSI Passport | All Contracted Commercial Plans | $1,959 |
Inpatient
$1,330cash price (self-pay)
$2,418list price
$1,451–$2,176range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Common Ground | All Contracted Commercial Plans | $1,451 |
| Trilogy | All Contracted Commercial Plans | $1,668 |
| Health Payment Systems | All Contracted Commercial Plans | $1,682 |
| Aetna | All Contracted Commercial Plans | $1,693 |
| Aspirus | All Contracted Commercial Plans | $1,934 |
| IBSI Passport | All Contracted Commercial Plans | $1,959 |
| Americas Choice | PPO | $2,104 |
| Federated Mutual | All Contracted Commercial Plans | $2,104 |
| HealthEos | All Contracted Commercial Plans | $2,104 |
| Multiplan/Private Healthcare Systems | All Contracted Commercial Plans | $2,104 |
| Savility | All Contracted Commercial Plans | $2,104 |
| First Health Network | All Contracted Commercial Plans | $2,128 |
| HealthSmart | All Contracted Commercial Plans | $2,176 |
| Physicians Plus | HMO | $2,176 |
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