CT head without contrast at Gundersen St. Josephs Hospital and Clinic. CPT 70450.
What Gundersen St. Josephs Hospital and Clinic publishes for this service, straight from its standard-charges file, last updated June 27, 2026.
Outpatient / ER
$885cash price (self-pay)
$1,682list price
$144–$2,570range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Amerigroup | Medicaid HMO | $144 |
| Dean Health Plan | All Products | $570 |
| Quartz | All Products | $711 |
| Quartz | All Other Self Funded | $740 |
| Quartz | Self Funded | $791 |
| Quartz | Level Funded | $816 |
| Anthem | Medicaid | $826 |
| Dean Health Plan | Medicaid_Badgercare | $826 |
| Group Health Eau Claire | Medicaid HMO | $826 |
| Group Health of South Central | Medicaid HMO | $826 |
| Iowa Total Care | Medicaid | $826 |
| Quartz | Medicaid_Badgercare | $826 |
| Anthem | Medicare HMO/PPO | $858 |
| Dean Health Plan | Medicare Select | $858 |
| Humana | Medicare Advantage | $858 |
| Quartz | Medicare Advantage | $858 |
| UCARE | Dually Eligible | $858 |
| UHC | Medicare Advantage | $858 |
| UCARE | MSHO/Minnesota Special Needs | $875 |
| UCARE | Non-Dually Eligible | $875 |
| Managed Health Service | Managed Medicaid | $907 |
| Quartz | Fully Insured | $917 |
| UHC | All Payer Appendix | $1,176 |
| Cigna | All Products | $1,297 |
| Alliance | Premier/All Products | $1,346 |
| Group Health of South Central | All Products | $1,346 |
| Trilogy | All Products | $1,346 |
| UCARE | Qualified Health Plan | $1,346 |
| Aspirus Arise Health | All Products | $1,396 |
| Allied National | Core Value Programs | $1,430 |
Inpatient
$885cash price (self-pay)
$1,682list price
$711–$1,598range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Quartz | All Other Self Funded | $991 |
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All common services at Gundersen St. Josephs Hospital and Clinic