CT head without contrast at Marshfield Medical Center Rice Lake Hospital. CPT 70450.
What Marshfield Medical Center Rice Lake Hospital publishes for this service, straight from its standard-charges file, last updated February 20, 2026.
Outpatient / ER
$969cash price (self-pay)
$1,020list price
$510–$1,837range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Family Health Center (FHC) | Prepaid Health Svcs | $510 |
| Amish/Mennonite | Amish Mennonite | $561 |
| Sanford Health Plan | Commercial | $561 |
| Group Health Cooperative of Eau Claire | ETF - River Region | $836 |
| UnitedHealth Group of WI | PPO | $840 |
| Molina Healthcare of WI | HMO | $867 |
| The Alliance | Exception Members | $969 |
| The Alliance | PPO Network | $969 |
| Besse Forest Products | Direct Employer | $969 |
| Cigna | PPO | $969 |
| CORVEL | Third Party | $969 |
| First Health | PPO Network | $969 |
| HealthEOS by MultiPlan Inc. | PPO Network | $969 |
| HealthEOS by MultiPlan Inc. | Workers Comp | $969 |
| Health Partners | PPO | $969 |
| Rice Lake School District | Direct Employer | $969 |
| Medica of WI | Medica Care System | $974 |
| Trilogy | Commercial | $974 |
| Coventry | Workers Comp | $979 |
| Group Health Cooperative of Eau Claire | ETF - Greater WI/HMO | $979 |
| Health Smart | PPO Network | $979 |
| Trilogy | Third Party | $979 |
| Rising Medical Work Comp | Workers Comp | $989 |
| Medica of WI | Medica Choice/Medica Health Plan Solutions/Medica Ind. | $993 |
| WPS Health Insurance | PPO/Select 65+ | $995 |
| Three Rivers Provider Network (TRPN) | Commercial | $1,000 |
| Three Rivers Provider Network (TRPN) | Third Party | $1,000 |
| Security Health Plan (SHP) | SimplyOne Region 3 | $1,286 |
| Security Health Plan (SHP) | SimplyOne Region 2 | $1,414 |
| Security Health Plan (SHP) | SimplyOne Region 1 | $1,540 |
Inpatient
$969cash price (self-pay)
$1,020list price
$561–$1,000range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Amish/Mennonite | Amish Mennonite | $561 |
| Sanford Health Plan | Commercial | $561 |
| Group Health Cooperative of Eau Claire | ETF - River Region | $836 |
| UnitedHealth Group of WI | PPO | $840 |
| Molina Healthcare of WI | HMO | $867 |
| The Alliance | PPO Network | $964 |
| The Alliance | Exception Members | $969 |
| Besse Forest Products | Direct Employer | $969 |
| Cigna | PPO | $969 |
| CORVEL | Third Party | $969 |
| First Health | PPO Network | $969 |
| HealthEOS by MultiPlan Inc. | PPO Network | $969 |
| HealthEOS by MultiPlan Inc. | Workers Comp | $969 |
| Health Partners | PPO | $969 |
| Rice Lake School District | Direct Employer | $969 |
| Medica of WI | Medica Care System | $974 |
| Trilogy | Commercial | $974 |
| Coventry | Workers Comp | $979 |
| Group Health Cooperative of Eau Claire | ETF - Greater WI/HMO | $979 |
| Health Smart | PPO Network | $979 |
| Trilogy | Third Party | $979 |
| Rising Medical Work Comp | Workers Comp | $989 |
| Medica of WI | Medica Choice/Medica Health Plan Solutions/Medica Ind. | $993 |
| WPS Health Insurance | PPO/Select 65+ | $995 |
| Three Rivers Provider Network (TRPN) | Commercial | $1,000 |
| Three Rivers Provider Network (TRPN) | Third Party | $1,000 |
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All common services at Marshfield Medical Center Rice Lake Hospital