CT head without contrast at Dover Er. CPT 70450.
What Dover Er publishes for this service, straight from its standard-charges file, last updated September 1, 2026.
Outpatient / ER
$5,864cash price (self-pay)
$5,864list price
$171–$5,571range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| AmeriHealth Caritas | MCD | $242 |
| Anthem | BlueChoice | $306 |
| Anthem Maine | BlueChoice | $306 |
| Anthem | FEP | $340 |
| Anthem | HMO | $340 |
| Anthem | POS | $340 |
| Anthem | PPO | $340 |
| Anthem Maine | FEP | $340 |
| Anthem Maine | HMO | $340 |
| Anthem Maine | POS | $340 |
| Anthem Maine | PPO | $340 |
| Harvard Pilgrim | INDIVIDUAL | $387 |
| Harvard Pilgrim | ELEVATE | $426 |
| Harvard Pilgrim | PPO | $466 |
| Well Sense Health Plan | MCD | $480 |
| Harvard Pilgrim | HMO | $484 |
| Harvard Pilgrim | POS | $484 |
| United | FreedomBenefitPlans | $1,507 |
| Maine Community Health | Individual | $1,834 |
| Maine Community Health | SmallGroup | $1,834 |
| Tufts Health Plan | HMO | $2,205 |
| Tufts Health Plan | PPO | $2,205 |
| United | AllPayerAppendix | $2,686 |
| Maine Community Health | LargeGroup | $3,107 |
| Tufts Health Plan | POS | $3,354 |
| Aetna | EPO | $3,712 |
| Aetna | HMO | $3,712 |
| Aetna | POS | $3,712 |
| Aetna | PPO | $3,712 |
| United | OptionsPPO | $3,870 |
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