CT head without contrast at Saint Marys Hospital. CPT 70450.
What Saint Marys Hospital publishes for this service, straight from its standard-charges file, last updated March 31, 2026.
Outpatient / ER
$1,025cash price (self-pay)
$1,864list price
$116–$1,864range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Connecticut Dept Of Correction | Connecticut Dept Of Corrections | $116 |
| Commonwealth Care Alliance Medicare | Commonwealth Care Alliance Medic | $125 |
| Aetna | Aetna Whole Health | $149 |
| Geha | United Healthcare | $179 |
| Harvard Pilgrim Healthcare | United Healthcare | $179 |
| Hap | Aetna | $187 |
| Meritain | Aetna | $187 |
| Webtpa | Aetna | $187 |
| 1199 National Benefit Fund | Aetna | $187 |
| Aetna | Aetna | $187 |
| Luminare Health | Aetna | $187 |
| Nippon Life Ins | Aetna | $187 |
| Allied Benefit Systems | Aetna | $187 |
| Gravie Admin Services | Aetna | $187 |
| United Healthcare | United Healthcare | $235 |
| Magnacare | Cigna | $338 |
| Health Partners | Cigna | $338 |
| Allegiance | Cigna | $338 |
| Cigna | Cigna | $338 |
| Blue Cross - NY (Anthem) | Anthem | $372 |
| Blue Cross - Nh (Anthem) | Anthem | $372 |
| Blue Cross - Nj (Horizon) | Anthem | $372 |
| Blue Cross - Nv (Anthem) | Anthem | $372 |
| Blue Cross - Ms | Anthem | $372 |
| Blue Cross - Mt | Anthem | $372 |
| Blue Cross - Md (Carefirst) | Anthem | $372 |
| Blue Cross - Or (Regence) | Anthem | $372 |
| Blue Cross - Nc | Anthem | $372 |
| Blue Shield - NY Highmark Western | Anthem | $372 |
| Blue Shield - NY Highmark Northeastern | Anthem | $372 |
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