CT head without contrast at Frisbie Memorial Hospital. CPT 70450.
What Frisbie Memorial Hospital publishes for this service, straight from its standard-charges file, last updated March 1, 2026.
Outpatient / ER
$5,413cash price (self-pay)
$5,413list price
$206–$4,330range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Anthem | BlueChoice | $367 |
| Anthem | HPN | $385 |
| Anthem | FEP | $425 |
| Anthem | PPO | $425 |
| Anthem | HMO | $428 |
| Anthem | IndividualOffExhange | $428 |
| Anthem | POS | $428 |
| AmeriHealth Caritas | MCD | $446 |
| Well Sense Health Plan | MCD | $661 |
| Harvard Pilgrim | INDIVIDUAL | $1,437 |
| Maine Community Health | Individual | $1,544 |
| Maine Community Health | SmallGroup | $1,544 |
| Harvard Pilgrim | ELEVATE | $1,740 |
| Tufts Health Plan | HMO | $1,857 |
| Tufts Health Plan | PPO | $1,857 |
| United | FreedomBenefitPlans | $1,857 |
| Harvard Pilgrim | HMO | $2,193 |
| Harvard Pilgrim | POS | $2,193 |
| Harvard Pilgrim | PPO | $2,193 |
| United | AllPayerAppendix | $2,268 |
| Maine Community Health | LargeGroup | $2,617 |
| Tufts Health Plan | POS | $3,096 |
| Aetna | EPO | $3,129 |
| Aetna | HMO | $3,129 |
| Aetna | POS | $3,129 |
| Aetna | PPO | $3,129 |
| United | OptionsPPO | $3,264 |
| EverNorth | COMM | $4,330 |
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