CT head without contrast at Sullivan County Community Hospital. CPT 70450.
What Sullivan County Community Hospital publishes for this service, straight from its standard-charges file, last updated June 10, 2026.
Outpatient / ER
$1,644cash price (self-pay)
$2,192list price
$56.64–$1,863range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Humana Mcaid | Humana Mcaid | $56.64 |
| Mdwise Mcaid - All Other Plans | Mdwise Mcaid - All Other Plans | $56.64 |
| Mhs Mcaid - All Other Plans | Mhs Mcaid - All Other Plans | $56.64 |
| Mhs Hlthy In Mcaid | Mhs Hlthy In Mcaid | $107 |
| Ambetter Comm-Exch - All Plans | Ambetter Comm-Exch - All Plans | $658 |
| BCBS Essential | BCBS Essential | $658 |
| Mdwise Mcr Adv | Mdwise Mcr Adv | $658 |
| BCBS Mcr Adv | BCBS Mcr Adv | $658 |
| Va Ccn - All Plans | Va Ccn - All Plans | $658 |
| Humana Mcr Adv | Humana Mcr Adv | $664 |
| BCBS Healthsync | BCBS Healthsync | $781 |
| BCBS Pathway X | BCBS Pathway X | $781 |
| BCBS HMO | BCBS HMO | $964 |
| BCBS Pathway | BCBS Pathway | $977 |
| BCBS PPO | BCBS PPO | $977 |
| BCBS Trad - All Other Plans | BCBS Trad - All Other Plans | $1,157 |
| Siho - All Plans | Siho - All Plans | $1,644 |
| Humana Comm - All Other Plans | Humana Comm - All Other Plans | $1,863 |
| UHC All Payer - All Plans | UHC All Payer - All Plans | $1,863 |
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