CT head without contrast at UMass Memorial Health-Harrington Hospital. CPT 70450.
What UMass Memorial Health-Harrington Hospital publishes for this service, straight from its standard-charges file, last updated April 3, 2026.
Outpatient / ER
$1,625cash price (self-pay)
$1,625list price
$125–$1,625range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| CIGNA MCR [10121] | All MEDICARE/ MEDICARE ADV PLANS/ INST HR [96] Pla | $126 |
| MGB MCR [10124] | All MGB MCR HR [315] Plans | $126 |
| INSTITUTION [10406] | All HOSPICE HR [311] Plans | $126 |
| CHAMPVA [11001] | All TRICARE / CHAMPVA HR [165] Plans | $126 |
| TUFTS US FAMILY [11203] | All TUFTS US FAMILY HR [310] Plans | $127 |
| BCBS MCR [10102] | All BC MCR HR [64] Plans | $130 |
| COMMONWEALTH CARE ALLIANCE [10103] | All ONE CARE HR [298] Plans | $132 |
| AETNA MCR [10101] | All MEDICARE ADV AT 105% HR [301] Plans | $132 |
| TUFTS MCR [10112] | All TUFTS MCR HR [300] Plans | $132 |
| FALLON MCR SUPP [20202] | All FALLON SENIOR HR [139] Plans | $132 |
| FALLON MCR [10105] | All FALLON SUMMIT ELDER CARE HR [334] Plans | $132 |
| UHC DUAL [10118] | All UHC COMMUNITY CARE SCO (EVERCARE) HR [332] Plan | $133 |
| UHC MCR REPLACE AARP [10114] | All UHC MCR HR [333] Plans | $136 |
| SENIOR WHOLE HEALTH [10110] | All SENIOR WHOLE HEALTH HR [128] Plans | $136 |
| TUFTS CONNECTORCARE [10507] | All TUFTS CONNECTORCARE/DIRECT QHP HR [1 | $214 |
| WORKERS COMPENSATION [20501] | All WORKERS COMP HR [31] Plans | $222 |
| WELLPOINT [11112] | All WELLPOINT (UNICARE) HR [60] Plans | $413 |
| BCBS [10301] | All BC HMO HR [47] Plans | $494 |
| BCBS [10301] | All BC PPO HR [48] Plans | $494 |
| HSNO/FREE CARE [10801] | All HSNO HR [70] Plans | $681 |
| MEDICAID [20301] | All MEDICAID OF MAINE [283] Plans | $845 |
| HNE [11108] | All HEALTH NEW ENGLAND HR [294] Plans | $1,058 |
| FIRST HEALTH NETWORK [11120] | All COVENTRY (FIRST HEALTH) [83] Plans | $1,219 |
| CIGNA HEALTH PLAN [11104] | All CIGNA HR [34] Plans | $1,255 |
| EVERNORTH BEHAVIORAL HEALTH [27] | All EVERNORTH (FORMERLY CIGNA) BEHA | $1,300 |
| UHC [11111] | All UHC HR [37] Plans | $1,380 |
| UHC [11111] | All UHC SUREST HR [324] Plans | $1,380 |
| FALLON CARELON HLTH [28] | All CARELON (FORMERLY BEACON) BH HR [15] Pl | $1,625 |
| HP OPTUM BH [32] | All OPTUM BEHAVIORAL HEALTH (UBH) HR [159] Plans | $1,625 |
| GRANTS [20507] | All FHCW GRANT [321] Plans | $1,625 |
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All common services at UMass Memorial Health-Harrington Hospital