CT head without contrast at Health Alliance Mary Avenue Hospital. CPT 70450.
What Health Alliance Mary Avenue Hospital publishes for this service, straight from its standard-charges file, last updated June 24, 2026.
Outpatient / ER
$2,263cash price (self-pay)
$2,263list price
$90.90–$2,263range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna Medicare | Aetna Medicare | $130 |
| Beacon Medicare | Beacon Medicare | $130 |
| Blue Cross Medicare | Blue Cross Medicare | $130 |
| Cdphp Medicare | Cdphp Medicare | $130 |
| Hamaspik (Mcr) | Hamaspik (Mcr) | $130 |
| Medicare Managed 100% Hahv | Medicare Managed 100 Hahv | $130 |
| Mvp Gold (Mcr) | Mvp Gold (Mcr) | $130 |
| Todays Options Medicare | Todays Options Medicare | $130 |
| Medicare | Medicare | $131 |
| Emblem Ghi/Hip Medicare | Emblem Ghi/Hip Medicare | $132 |
| Affinity By Molina Mcr | Affinity By Molina Mcr | $136 |
| Todays Options | Todays Options | $143 |
| Beacon Exchange | Beacon Exchange | $156 |
| Beacon Commercial | Beacon Commercial | $169 |
| UHC Commercial | UHC Commercial | $179 |
| UHC Empire | UHC Empire | $179 |
| UHC Exchange | UHC Exchange | $179 |
| VALUE OPTIONS (Non-HMO) | VALUE OPTIONS (Non-HMO) | $195 |
| Aetna Hp Network | Aetna Hp Network | $211 |
| Mvp HMO/PPO | Mvp HMO/PPO | $339 |
| Blue Cross Connection/Exchange | Blue Cross Connection/Exchange | $816 |
| Blue Cross Access | Blue Cross Access | $869 |
| Blue Cross Small Group | Blue Cross Small Group | $978 |
| Blue Cross Commercial/Healthy NY | Blue Cross Commercial/Healthy NY | $1,088 |
| Self-Pay | Self-Pay | $1,192 |
| Emblem Ghi/Hip PPO/Cbp | Emblem Ghi/Hip PPO/Cbp | $1,403 |
| Aetna | Aetna | $1,471 |
| Mvp Exchange | Mvp Exchange | $1,471 |
| Emblem Select Care (Exchange) | Emblem Select Care (Exchange) | $1,539 |
| Cdphp | Cdphp | $1,584 |
Inpatient
$2,263cash price (self-pay)
$2,263list price
$1,584–$2,263range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Magnacare Standard | Magnacare Standard | $1,584 |
| Multiplan | Multiplan | $1,856 |
| Blue Shield - Health Now | Blue Shield - Health Now | $2,150 |
| Medigap | Medigap | $2,263 |
| NON CONTRACTED (100% POC) | NON CONTRACTED (100 PerCent POC) | $2,263 |
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