CT head without contrast at Fairview Hospital. CPT 70450.
What Fairview Hospital publishes for this service, straight from its standard-charges file, last updated March 25, 2026.
Outpatient / ER
$1,020cash price (self-pay)
$1,334list price
$85.83–$1,515range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Other Government | Tri Tricare | $257 |
| Medicare | MCR Traditional Medicare | $260 |
| Medicare | MCRManaged Medicare HMO | $260 |
| Fallon | MCRManaged Fallon Medicare Advantage | $263 |
| Fallon | MCRManaged Fallon Medicare SCO | $264 |
| Hospice | Comm Hospice | $265 |
| Other Government | MCR Miscellaneous | $265 |
| Other Government | MCRManaged USA Family | $265 |
| Other Government | MCRManaged VA | $265 |
| United Healthcare | Oth United VACCN | $265 |
| Health New England | MCRManaged HNE Medicare Advantage | $267 |
| Blue Cross | MCRManaged Blue Cross VT Medicare HMO | $269 |
| CommCare Alliance | MCRManaged CCA One Care | $271 |
| Point32Health | Comm Tufts QHPSUB (Network) | $351 |
| Point32Health | MCDManaged Tufts (Network) | $351 |
| Comm Fallon QHP | Comm Fallon QHP | $413 |
| Aetna | Comm Aetna | $451 |
| Comm HNE HMO | Comm HNE HMO | $458 |
| Unicare | Comm Wellpoint (Unicare) | $474 |
| Health New England | Comm HNE | $485 |
| Comm HNE PPO | Comm HNE PPO | $487 |
| Fallon | MCDManaged Fallon Medicaid ACO | $547 |
| Allways NHP | Comm NHP | $863 |
| United Healthcare | Comm United BH | $867 |
| Point32Health | Comm Tufts QHPNONSUB (Network) | $896 |
| Blue Cross | Comm Blue Cross VT PPO | $1,031 |
| Point32Health | Comm Tufts | $1,057 |
| United Healthcare | Comm UnitedHealthcare | $1,148 |
| Capital District Physicians' Health Plan | Comm CDPHP | $1,201 |
| Cigna | Comm Cigna Carelink | $1,201 |
Inpatient
$1,515cash price (self-pay)
$1,595list price
$901–$1,515range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Point32Health | Comm Tufts QHPSUB (Network) | $901 |
| Point32Health | MCDManaged Tufts (Network) | $901 |
| Workers Comp | WC Workers Comp | $1,017 |
| Allways NHP | Comm NHP | $1,032 |
| Point32Health | Comm Tufts QHPNONSUB (Network) | $1,034 |
| United Healthcare | Comm United BH | $1,037 |
| Blue Cross | Comm Blue Cross VT PPO | $1,148 |
| Aetna | Comm Aetna | $1,204 |
| Point32Health | Comm Tufts | $1,263 |
| United Healthcare | Comm UnitedHealthcare | $1,372 |
| Capital District Physicians' Health Plan | Comm CDPHP | $1,436 |
| MVP | Comm MVP | $1,436 |
| Oxford | Comm Oxford | $1,436 |
| Connecticare | Comm Connecticare | $1,515 |
| Consolidated Health Plans | Comm Consolidated Health | $1,515 |
| First Health | Comm First Health | $1,515 |
| Point32Health | Comm Harvard | $1,515 |
| Other Commercial | Comm Other | $1,515 |
| PHCS | Comm PHCS | $1,515 |
| Self Pay | Comm Self Pay | $1,515 |
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