SelfPayRates — hospital cash prices, from the source
Cash prices at 4 facilities across 2 cities for code 70450, as an outpatient — the setting a self-pay patient normally buys. Collected Sep 23, 2026; the hospital files themselves were last updated between — and —.
| Hospital | Cash price | List price | Off | File date | |
|---|---|---|---|---|---|
| Ascension Calumet Hospital, Inc.
CHILTON, WI HC CT HEAD WO CONTRAST |
$640.68 | $1,124.00 | 43% | — file |
|
| Ascension NE Wisconsin, Inc.
APPLETON, WI HC CT HEAD WO CONTRAST |
$698.25 | $1,225.00 | 43% | — file |
|
| Thedacare Regional Medical Center-Appleton Inc.
APPLETON, WI HC CT Head W/O Contrast (70450) |
$936.77 | $1,672.80 | 44% | — file |
|
| Thedacare Regional Medical Center-Appleton Inc
APPLETON, WI HC CT Head W/O Contrast (70450) |
$936.77 | $1,672.80 | 44% | — file |
|
| Thedacare Regional Medical Center-Appleton Inc.
APPLETON, WI HC CT HEAD W/O CONTRAST (70450) |
$955.53 | $1,706.30 | 44% | — file |
|
| Thedacare Regional Medical Center-Appleton Inc
APPLETON, WI HC CT HEAD W/O CONTRAST (70450) |
$955.53 | $1,706.30 | 44% | — file |
Outpatient: lowest $640.68, median $936.77, highest $955.53 — a 1.5× difference within the same market.