CT head without contrast at Franklin Memorial Hospital. CPT 70450.
What Franklin Memorial Hospital publishes for this service, straight from its standard-charges file, last updated September 9, 2025.
Outpatient / ER
$1,287cash price (self-pay)
$1,287list price
$39.97–$1,210range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna | MHACO Government | $72.62 |
| Aetna | Medicare Advantage | $105 |
| Harvard Pilgrim Healthcare | Commercial | $113 |
| Harvard Pilgrim Healthcare | Maine's Choice | $113 |
| Anthem | Medicare Advantage | $121 |
| United Healthcare | Medicare Advantage | $121 |
| Wellcare | Medicare Advantage | $121 |
| Aetna | HMO/PPO | $142 |
| Aetna | MHACO Commercial | $150 |
| Multiplan | Commercial | $156 |
| United Healthcare | Commercial | $164 |
| Community Health Options | Commercial | $180 |
| Anthem | HMO/POS/PPO Pathway Enhanced | $224 |
| Cigna | Commercial | $1,077 |
Inpatient
$1,287cash price (self-pay)
$1,287list price
$976–$1,210range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Harvard Pilgrim Healthcare | Maine's Choice | $976 |
| Aetna | HMO/PPO | $982 |
| Cigna | Commercial | $1,077 |
| Harvard Pilgrim Healthcare | Commercial | $1,084 |
| Community Health Options | Commercial | $1,122 |
| United Healthcare | Commercial | $1,148 |
| Multiplan | Commercial | $1,210 |
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