CT head without contrast at Dorminy Medical Center. CPT 70450.
What Dorminy Medical Center publishes for this service, straight from its standard-charges file, last updated May 6, 2026.
Outpatient / ER
$481cash price (self-pay)
$962list price
$91.17–$914range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna Medicare Advantage | Advantage | $91.17 |
| Humana Medicare Advantage | Advantage | $91.17 |
| Anthem Blue Cross Medicare Advantage | Advantage | $91.17 |
| United HealthCare Medicare Advantage | Advantage | $91.17 |
| Anthem Blue Cross Pathway | Pathway | $387 |
| Anthem Blue Cross HMO | HMO | $483 |
| Anthem BCBS PPO | PPO | $483 |
| HealthSmart | All Commercial Plans | $721 |
| Aetna Commercial | PPO/HMO | $770 |
| Provider Network of America | All Commercial Plans | $818 |
| Principal Edge Network | All Commercial Plans | $837 |
| United HealthCare Commercial | PPO/HMO | $837 |
| Cigna Commercial | PPO/HMO | $846 |
| Humana ChoiceCare | All Commercial Plans | $846 |
| Novanet | All Commercial Plans | $866 |
| Unicare | All Commercial Plans | $866 |
| PHCS | All Commercial Plans | $866 |
| MultiPlan | PPO/HMO | $866 |
| Three Rivers Provider Network | All Commercial Plans | $914 |
Inpatient
$481cash price (self-pay)
$962list price
$721–$914range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| HealthSmart | All Commercial Plans | $721 |
| Aetna Commercial | PPO/HMO | $770 |
| Provider Network of America | All Commercial Plans | $818 |
| Principal Edge Network | All Commercial Plans | $837 |
| United HealthCare Commercial | PPO/HMO | $837 |
| Cigna Commercial | PPO/HMO | $846 |
| Humana ChoiceCare | All Commercial Plans | $846 |
| Novanet | All Commercial Plans | $866 |
| Unicare | All Commercial Plans | $866 |
| PHCS | All Commercial Plans | $866 |
| MultiPlan | PPO/HMO | $866 |
| Three Rivers Provider Network | All Commercial Plans | $914 |
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