CT head without contrast at HSS West Side Outpatient Center. CPT 70450.
What HSS West Side Outpatient Center publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$247cash price (self-pay)
$247list price
$30.65–$2,063range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| UHC | Medicare Managed Care | $30.65 |
| Fidelis | Medicaid Managed Care | $31.65 |
| Fidelis | Essential Plans 3,4 | $33.41 |
| Fidelis | Essential Plans 1,2 | $33.41 |
| Metro Plus | Medicaid Managed Care | $42.20 |
| Metro Plus | Essential Plans 3,4 | $42.20 |
| Emblem | Medicare Managed Care | $43.79 |
| Metro Plus | Essential Plans 1,2 | $43.96 |
| Emblem | City of NY Plans | $57.80 |
| Emblem | Commercial | $57.80 |
| Anthem NY | Exchange | $59.17 |
| NYSHIP | Commercial | $64.61 |
| UHC | Commercial | $67.05 |
| Anthem NY | Commercial | $69.61 |
| Horizon | Commercial | $71.58 |
| CIGNA | Commercial | $88.89 |
| Aetna | Commercial | $102 |
| Blue Cross Blue Shield NY [1022] | BCBS NY Exchange [102200] | $121 |
| United Healthcare [1107] | Unitedhealthcare Essential 3 And 4 [110714] | $164 |
| Fidelis Essential [1323] | Fidelis Essential [132300] | $273 |
| United Healthcare [1107] | United Healthcare Exchange [110711] | $651 |
| Nalc [1090] | Nalc [109000] | $771 |
| Cigna [1035] | Cigna [103500] | $771 |
| Trustmark - Cigna [1343] | Trustmark - Cigna [134300] | $771 |
| Oxford [1096] | Oxford [109600] | $823 |
| Oxford [1096] | Oxford Healthy Start [109603] | $823 |
| Oxford [1096] | Oxford POS [109606] | $823 |
| Oxford [1096] | Oxford Freedom [109601] | $823 |
| United Healthcare [1107] | United Healthcare Choice [110705] | $1,030 |
| Umr [1106] | Umr HMO [110601] | $1,030 |
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