CT head without contrast at Champlain Valley Physicians Hospital. CPT 70450.
What Champlain Valley Physicians Hospital publishes for this service, straight from its standard-charges file, last updated April 28, 2026.
Outpatient / ER
$113cash price (self-pay)
$113list price
$26.57–$2,972range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| United Healthcare | Managed Medicaid/Essential Plans | $26.57 |
| MVP | Essential Plans | $32.27 |
| MVP | Managed Medicaid | $32.27 |
| Empire BlueCross BlueShield | Essential Plans/Managed Medicaid | $34.16 |
| Empire BlueCross BlueShield | Managed Medicaid Aliessa | $34.16 |
| Fidelis Care | Managed Medicaid | $37.96 |
| Fidelis Care | Essential Plans | $39.86 |
| United Healthcare Empire Plan | Commercial PPO for NY State Employees | $44.23 |
| Excellus BlueCross BlueShield | Managed Medicaid/Essential Plans | $47.31 |
| Capital District Physicians' Health Plan | Essential Plans | $69.39 |
| Capital District Physicians' Health Plan | Managed Medicaid | $69.39 |
| Excellus BlueCross BlueShield | Medicare Advantage | $80.40 |
| Humana Military | TRICARE | $80.70 |
| Aetna | Medicare Advantage | $83.95 |
| Capital District Physicians' Health Plan | Medicare Advantage | $83.95 |
| Empire BlueCross BlueShield | Medicare Advantage | $83.95 |
| Fidelis Care | Medicare Advantage | $83.95 |
| United Healthcare | Medicare Advantage | $83.95 |
| Veterans Affairs Community Care Network | Veterans Administration | $83.95 |
| MVP | Medicare Advantage | $84.33 |
| Martins Point | TRICARE Prime/Department of Defense | $88.56 |
| MVP | Commercial | $92.48 |
| St. Regis | HMO | $110 |
| Wellpath | FCI Ray Brook | $124 |
| Empire BlueCross BlueShield | Individual Network | $134 |
| Excellus BlueCross BlueShield | Commercial | $337 |
| Empire BlueCross BlueShield | Blue Access | $972 |
| Empire BlueCross BlueShield | HMO | $1,020 |
| Empire BlueCross BlueShield | IND | $1,021 |
| Empire BlueCross BlueShield | PPO | $1,022 |
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