CT head without contrast at Saint Clares Behavioral Health – Boonton. CPT 70450.
What Saint Clares Behavioral Health – Boonton publishes for this service, straight from its standard-charges file, last updated September 10, 2026.
Outpatient / ER
$121cash price (self-pay)
$563list price
$96.98–$563range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Humana | HUMANA MILITARY TRICARE | $96.98 |
| UHC - Adhoc | UHC - Adhoc All Payer | $109 |
| UHC - Adhoc | UHC - Adhoc Oxford | $109 |
| Aetna | Aetna Medicare | $121 |
| Amerihealth | Amerihealth HMO Medicare | $121 |
| Clover Health | Clover Medicare | $121 |
| Horizon | Horizon Medicare | $121 |
| Traditional Medicare | Traditional Medicare | $121 |
| Tricare | Tricare | $121 |
| UHC | UHC Medicare | $121 |
| Wellcare | Wellcare Medicare | $121 |
| Wellpoint Amerigroup | Wellpoint Amerigroup Medicare | $121 |
| ALLY-ALIGN (fka Spartan Health Plan) | ALLY-ALIGN (fka Spartan Health | $127 |
| UHC | UHC Commercial All Payers | $163 |
| UHC | UHC Commercial Oxford | $163 |
| Wellcare | Wellcare Insurance Exchange (01-01-2022 to 12-31-2026) | $164 |
| Employer Direct Healthcare | Employer Direct Healthcare | $170 |
| Cigna | Cigna Commercial | $187 |
| Fairprice Healthcare Holdings - Fphh | Fairprice Healthcare Holdings - | $194 |
| Coventry | Coventry Auto | $242 |
| Coventry | Coventry workers comp | $242 |
| Horizon | Horizon BCBS of NJ HMO POS | $252 |
| Horizon | Horizon BCBS of NJ Indemnity | $252 |
| Horizon | Horizon BCBS of NJ PPO | $252 |
| Aetna | Aetna Commercial | $257 |
| Aetna | Aetna Medical Rental Network | $257 |
| Amerihealth | Amerihealth HMO | $356 |
| BRIGHTON HEALTH PLAN SOLUTIONS (FKA MagnaCare) | BRIGHTON HEALTH PLAN | $563 |
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All common services at Saint Clares Behavioral Health – Boonton