Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
HC CT HEAD/BRAIN W/O CONTRAST
Lehi, UT
See all hospitals reporting CPT 70450 →Price type
IHC Health Services Inc., DBA Intermountain Primary Children's Hospital’s median price of $634 is 100% above the median hospital's median price ($317), higher than 66% of the 2,638 hospitals reporting CPT 70450. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 8 payers, 55 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | ||||
|---|---|---|---|---|
| 1 | Molina medicaid professional · fee schedule · outpatient | $52.63 | $52.63 | $39.70 – $65.56 |
| 2 | Molina medicare advantage professional · fee schedule · outpatient | $52.63 | $52.63 | $39.70 – $65.56 |
| 3 | Molina medicare choice care hmo professional · fee schedule · outpatient | $52.63 | $52.63 | $39.70 – $65.56 |
| 4 | Molina medicare complete care hmo snp professional · fee schedule · outpatient | $52.63 | $52.63 | $39.70 – $65.56 |
| 5 | UnitedHealthcare medicare advantage professional · fee schedule · outpatient | $52.63 | $52.63 | $39.70 – $65.56 |
| 6 | Molina medicaid facility · case rate · outpatient | $60.80 | $60.80 | $60.80 – $60.80 |
| 7 | Molina medicare advantage facility · case rate · outpatient | $65.67 | $65.67 | $65.67 – $65.67 |
| 8 | Molina medicare choice care hmo facility · case rate · outpatient | $65.67 | $65.67 | $65.67 – $65.67 |
| 9 | Molina medicare complete care hmo snp facility · case rate · outpatient | $65.67 | $65.67 | $65.67 – $65.67 |
| 10 | Tricare tricare facility · case rate · outpatient | $101.95 | $101.95 | $101.95 – $101.95 |
| 11 | UnitedHealthcare medicare advantage facility · case rate · outpatient | $101.95 | $101.95 | $101.95 – $101.95 |
| 12 | UnitedHealthcare medicare advantage facility · percent of total billed charges · inpatientfrom % of charges | $366.09 | $366.09 | $366.09 – $366.09 |
| 13 | Molina medicare advantage facility · percent of total billed charges · inpatientfrom % of charges | $535.75 | $535.75 | $535.75 – $535.75 |
| 14 | Molina medicare choice care hmo facility · percent of total billed charges · inpatientfrom % of charges | $535.75 | $535.75 | $535.75 – $535.75 |
| 15 | Molina medicare complete care hmo snp facility · percent of total billed charges · inpatientfrom % of charges | $535.75 | $535.75 | $535.75 – $535.75 |
| 16 | Aetna connected facility · percent of total billed charges · inpatientfrom % of charges | $633.97 | $633.97 | $633.97 – $633.97 |
| 17 | Aetna extended facility · percent of total billed charges · inpatientfrom % of charges | $633.97 | $633.97 | $633.97 – $633.97 |
| 18 | Aetna standard facility · percent of total billed charges · inpatientfrom % of charges | $633.97 | $633.97 | $633.97 – $633.97 |
| 19 | Cigna hmo facility · percent of total billed charges · inpatientfrom % of charges | $633.97 | $633.97 | $633.97 – $633.97 |
| 20 | Cigna open access flex facility · percent of total billed charges · inpatientfrom % of charges | $633.97 | $633.97 | $633.97 – $633.97 |
| 21 | Cigna ppo/epo facility · percent of total billed charges · inpatientfrom % of charges | $633.97 | $633.97 | $633.97 – $633.97 |
| 22 | Cigna utah connect/local plus facility · percent of total billed charges · inpatientfrom % of charges | $633.97 | $633.97 | $633.97 – $633.97 |
| 23 | Humana commercial facility · percent of total billed charges · inpatientfrom % of charges | $633.97 | $633.97 | $633.97 – $633.97 |
| 24 | Molina chip facility · percent of total billed charges · inpatientfrom % of charges | $633.97 | $633.97 | $633.97 – $633.97 |
| 25 | Molina marketplace facility · percent of total billed charges · inpatientfrom % of charges | $633.97 | $633.97 | $633.97 – $633.97 |
Last updated: Aug 5, 2026
See CT scan of head without contrast dye pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.