CT head without contrast at MaineHealth - Memorial Hospital. CPT 70450.
What MaineHealth - Memorial Hospital publishes for this service, straight from its standard-charges file, last updated September 9, 2025.
Outpatient / ER
$1,728cash price (self-pay)
$1,728list price
$39.97–$1,625range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna | MHACO Government | $72.62 |
| Anthem | Medicare Advantage | $104 |
| Wellcare | Medicare Advantage | $104 |
| Aetna | Medicare Advantage | $121 |
| Humana | Medicare Advantage | $121 |
| United Healthcare | Medicare Advantage | $121 |
| Aetna | HMO/PPO | $142 |
| Aetna | MHACO Commercial | $150 |
| Multiplan | Commercial | $173 |
| Community Health Options | Commercial | $180 |
| United Healthcare | Commercial | $182 |
| Harvard Pilgrim Healthcare | Commercial | $209 |
| Harvard Pilgrim Healthcare | Maine's Choice | $209 |
| Anthem | HMO/POS/PPO Pathway Enhanced | $304 |
| Cigna | Commercial | $1,455 |
Inpatient
$1,728cash price (self-pay)
$1,728list price
$1,380–$1,625range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Anthem | HMO/POS/PPO Pathway Enhanced | $1,380 |
| Community Health Options | Commercial | $1,383 |
| Harvard Pilgrim Healthcare | Maine's Choice | $1,448 |
| Cigna | Commercial | $1,455 |
| Aetna | HMO/PPO | $1,496 |
| Harvard Pilgrim Healthcare | Commercial | $1,609 |
| Multiplan | Commercial | $1,625 |
| United Healthcare | Commercial | $1,625 |
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