CT head without contrast at Fairview Park Hospital. CPT 70450.
What Fairview Park Hospital publishes for this service, straight from its standard-charges file, last updated September 1, 2026.
Outpatient / ER
$8,042cash price (self-pay)
$8,042list price
$53.36–$7,238range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| BCBS | Hix | $95.12 |
| BCBS | Pathway | $95.12 |
| BCBS | HMO | $108 |
| BCBS | PPO | $116 |
| Peach State (Ambetter) | HIX | $125 |
| Health One Alliance | COMMHIX | $128 |
| Aetna | HMO | $137 |
| Aetna | OpenAccess | $137 |
| Aetna | POS | $137 |
| Aetna | PPO | $137 |
| Aetna | QualifiedHealthPlan | $137 |
| Core Resources | COMM | $141 |
| United | AllPayerAppendix | $245 |
| Prime Health | WORKERSCOMP | $267 |
| Employer's Health Network | WCOMP | $273 |
| Rockport United Network | WORKERSCOMP | $273 |
| Identity MCO | WorkersComp | $279 |
| Synergy Health Network | WorkersComp | $279 |
| Amerigroup | MCD | $1,078 |
| NHC Advantage | MGMCR | $1,528 |
| Pruitt Health | MCR | $1,528 |
| Peach State | MGMCD | $1,608 |
| Wellcare | MCD | $1,608 |
| Memorial Health Plan | EMPLOYEEPLAN | $1,769 |
| United | OptionsPPO | $1,986 |
| Americas 1st Choice | MCR | $2,252 |
| Leavitt Risk Partners | COMM | $2,413 |
| United | GlobalBenefitPlan | $3,619 |
| Dodge County Hospital | COMM | $4,021 |
| Aetna | NAP | $4,434 |
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