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
CT Head/Brain WO Contrast
Sioux Center, IA
See all hospitals reporting CPT 70450 →Price type
Sioux Center Health’s median price of $879 is 177% above the median hospital's median price ($317), higher than 75% 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: 4 payers, 18 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 | Medica com fee schedule · outpatient | $24.20 | $24.20 | $24.20 – $24.20 |
| 2 | Medica ind fee schedule · outpatient | $24.20 | $24.20 | $24.20 – $24.20 |
| 3 | Wellmark hmo fee schedule · both | $77.00 | $77.00 | $77.00 – $77.00 |
| 4 | UnitedHealthcare com fee schedule · both | $78.68 | $78.68 | $78.68 – $78.68 |
| 5 | Medica com fee schedule · both | $86.15 | $86.15 | $86.15 – $86.15 |
| 6 | Medica ind fee schedule · both | $86.15 | $86.15 | $86.15 – $86.15 |
| 7 | Wellmark ppo fee schedule · both | $90.60 | $90.60 | $90.60 – $90.60 |
| 8 | Healthpartners com fee schedule · both | $90.76 | $90.76 | $90.76 – $90.76 |
| 9 | Medica ind percent of total billed charges · inpatientfrom % of charges | $841.10 | $841.10 | $841.10 – $841.10 |
| 10 | Wellmark hmo case rate · outpatient | $916.24 | $916.24 | $916.24 – $916.24 |
| 11 | Wellmark ppo case rate · outpatient | $916.24 | $916.24 | $916.24 – $916.24 |
| 12 | Medica com percent of total billed charges · inpatientfrom % of charges | $998.97 | $998.97 | $998.97 – $998.97 |
| 13 | UnitedHealthcare com percent of total billed charges · inpatientfrom % of charges | $1,104 | $1,104 | $1,104 – $1,104 |
| 14 | UnitedHealthcare com percent of total billed charges · outpatientfrom % of charges | $1,104 | $1,104 | $1,104 – $1,104 |
| 15 | Healthpartners com percent of total billed charges · inpatientfrom % of charges | $1,190 | $1,190 | $1,190 – $1,190 |
| 16 | Healthpartners com percent of total billed charges · outpatientfrom % of charges | $1,190 | $1,190 | $1,190 – $1,190 |
| 17 | Wellmark hmo case rate · inpatient | $1,268 | $1,268 | $1,268 – $1,268 |
| 18 | Wellmark ppo case rate · inpatient | $1,268 | $1,268 | $1,268 – $1,268 |
Last updated: Apr 1, 2026
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