CT head without contrast at Gundersen Boscobel Area Hospital and Clinic. CPT 70450.
What Gundersen Boscobel Area Hospital and Clinic publishes for this service, straight from its standard-charges file, last updated June 27, 2026.
Outpatient / ER
$780cash price (self-pay)
$1,514list price
$144–$2,570range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Amerigroup | Medicaid HMO | $144 |
| Alliance | Comprehensive/All Products | $427 |
| Alliance | Premier/All Products | $427 |
| Dean Health Plan | All Products | $570 |
| Quartz | All Products | $640 |
| Quartz | All Other Self Funded | $666 |
| Medical Associates | All Products | $685 |
| Anthem | Medicaid | $707 |
| Dean Health Plan | Medicaid_Badgercare | $707 |
| Group Health Eau Claire | Medicaid HMO | $707 |
| Group Health of South Central | Medicaid HMO | $707 |
| Iowa Total Care | Medicaid | $707 |
| Managed Health Service | Managed Medicaid | $707 |
| Quartz | Medicaid_Badgercare | $707 |
| Quartz | Self Funded | $712 |
| Quartz | Level Funded | $734 |
| Anthem | Medicare HMO/PPO | $742 |
| Dean Health Plan | Medicare Select | $742 |
| Health Partners | Medicare Advantage | $742 |
| Humana | Medicare Advantage | $742 |
| Medical Associates | Medicare Advantage | $742 |
| Quartz | Medicare Advantage | $742 |
| Health Partners | Medicaid HMO | $757 |
| Quartz | Fully Insured | $825 |
| Health Partners | Medicare Cost | $908 |
| Cigna | All Products | $1,167 |
| Group Health of South Central | All Products | $1,211 |
| Medical Associates | CAH Specific | $1,211 |
| Trilogy | All Products | $1,211 |
| Aspirus Arise Health | All Products | $1,257 |
Inpatient
$780cash price (self-pay)
$1,514list price
$640–$1,453range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Quartz | All Other Self Funded | $892 |
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All common services at Gundersen Boscobel Area Hospital and Clinic