CT head without contrast at Alice Hyde Medical Center. CPT 70450.
What Alice Hyde Medical Center publishes for this service, straight from its standard-charges file, last updated April 28, 2026.
Outpatient / ER
$51.00cash price (self-pay)
$51.00list price
$25.81–$2,162range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| United Healthcare | Managed Medicaid/Essential Plans | $26.57 |
| MVP | Essential Plans | $32.27 |
| MVP | Managed Medicaid | $32.27 |
| Fidelis Care | Health Benefit Exchange Products | $41.76 |
| Excellus BlueCross BlueShield | Managed Medicaid/Essential Plans | $42.01 |
| United Healthcare Empire Plan | Commercial PPO for NY State Employees | $44.04 |
| Capital District Physicians' Health Plan | Essential Plans | $47.19 |
| Capital District Physicians' Health Plan | Managed Medicaid | $47.19 |
| MVP | Individual Group Commercial | $56.51 |
| Fidelis Care | Child Health Plus | $79.78 |
| Fidelis Care | Managed Medicaid | $82.62 |
| MVP | Small/Large Group Commercial | $92.48 |
| Fidelis Care | Essential Plans | $96.30 |
| Excellus BlueCross BlueShield | Commercial | $201 |
| Humana Military | TRICARE | $367 |
| Aetna | Medicare Advantage | $370 |
| Capital District Physicians' Health Plan | Medicare Advantage | $370 |
| Martins Point | TRICARE Prime/Department of Defense | $370 |
| MVP | Medicare Advantage | $370 |
| United Healthcare | Medicare Advantage | $370 |
| Veterans Affairs Community Care Network | Veterans Administration | $370 |
| ChoiceCare | Medicare Advantage | $371 |
| Excellus BlueCross BlueShield | Medicare Advantage | $371 |
| Fidelis Care | Medicare Advantage | $373 |
| St. Regis | HMO | $396 |
| ChoiceCare | Commercial | $843 |
| MagnaCare | Commercial | $898 |
| Aetna | Commercial | $974 |
| Highmark BlueShield | IND/FEP/PPO/HMO | $1,008 |
| Capital District Physicians' Health Plan | Commercial | $1,062 |
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