CT head without contrast at Plaistow Emergency Room. CPT 70450.
What Plaistow Emergency Room publishes for this service, straight from its standard-charges file, last updated September 1, 2026.
Outpatient / ER
$6,702cash price (self-pay)
$6,702list price
$206–$6,368range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| AmeriHealth Caritas | MCD | $207 |
| Harvard Pilgrim | INDIVIDUAL | $361 |
| Anthem | BlueChoice | $367 |
| Harvard Pilgrim | ELEVATE | $398 |
| Anthem | FEP | $422 |
| Anthem | PPO | $422 |
| Anthem | HMO | $425 |
| Anthem | POS | $425 |
| Harvard Pilgrim | HMO | $452 |
| Harvard Pilgrim | POS | $452 |
| Well Sense Health Plan | MCD | $502 |
| United | FreedomBenefitPlans | $1,407 |
| Maine Community Health | Individual | $2,096 |
| Maine Community Health | SmallGroup | $2,096 |
| United | AllPayerAppendix | $2,815 |
| Harvard Pilgrim | PPO | $3,017 |
| Maine Community Health | LargeGroup | $3,552 |
| Tufts Health Plan | POS | $3,834 |
| Tufts Health Plan | HMO | $3,949 |
| Tufts Health Plan | PPO | $3,949 |
| Aetna | HMO | $3,988 |
| United | OptionsPPO | $4,068 |
| Aetna | EPO | $4,477 |
| Aetna | POS | $4,477 |
| Aetna | PPO | $4,477 |
| CorVel | WorkersComp | $4,826 |
| EverNorth | COMM | $5,362 |
| Healthcare Value Mgmt | COMM | $5,630 |
| First Health | PPO | $5,697 |
| Oxford Health Plans | COMM | $6,367 |
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