CT head without contrast at Wayne Memorial Hospital. CPT 70450.
What Wayne Memorial Hospital publishes for this service, straight from its standard-charges file, last updated March 24, 2026.
Outpatient / ER
$792cash price (self-pay)
$1,584list price
$974–$1,426range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Blue Cross PAR PPO | PPO | $974 |
| Blue Cross Open Access HMO | HMO | $974 |
| CIGNA Healthgram City Employee | Contract | $1,061 |
| AETNA | Commercial | $1,162 |
| First Health | Commercial | $1,188 |
| CIGNA | Commercial | $1,207 |
| HUMANA ChoiceCare | Commercial | $1,267 |
| United Healthcare | Commercial | $1,331 |
| PHCS | Commercial | $1,426 |
| Super Med | Commercial | $1,426 |
Inpatient
$792cash price (self-pay)
$1,584list price
$1,061–$1,426range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| CIGNA Healthgram City Employee | Contract | $1,061 |
| AETNA | Commercial | $1,162 |
| First Health | Commercial | $1,188 |
| CIGNA | Commercial | $1,207 |
| HUMANA ChoiceCare | Commercial | $1,267 |
| United Healthcare | Commercial | $1,331 |
| PHCS | Commercial | $1,426 |
| Super Med | Commercial | $1,426 |
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