CT head without contrast at Mary Imogene Bassett Hospital. CPT 70450.
What Mary Imogene Bassett Hospital publishes for this service, straight from its standard-charges file, last updated January 1, 2026.
Outpatient / ER
$91.78cash price (self-pay)
$1,637list price
$33.65–$2,875range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| BCBS | Excellus Child Health Plus Managed Medicaid | $33.65 |
| BCBS | Excellus Essential Managed Medicaid | $33.65 |
| BCBS | Excellus Healthy NY EPO Managed Medicaid | $33.65 |
| BCBS | Excellus Healthy NY Managed Medicaid | $33.65 |
| BCBS | Excellus Safety Net | $33.65 |
| BCBS | Excellus Blue Medicare Advantage PPO | $37.96 |
| BCBS | Excellus Medicare Advantage HMO/POS | $37.96 |
| BCBS | Excellus Medicare Advantage PPO | $37.96 |
| BCBS | Excellus Sr Federal | $37.96 |
| Aetna | Medicare Advantage HMO | $39.10 |
| Aetna | Medicare Advantage PPO/EPO | $39.10 |
| Fidelis | Managed Medicaid | $53.95 |
| Mvp | Managed Medicaid | $54.10 |
| Aetna | Allied Benefit | $56.53 |
| Aetna | Signature | $56.53 |
| BCBS | Anthem | $59.70 |
| BCBS | Empire Healthchoice | $59.70 |
| BCBS | Empire Healthchoice HMO/PPO/POS | $59.70 |
| BCBS | Excellus | $61.69 |
| BCBS | Excellus Alliance | $61.69 |
| BCBS | Excellus Blue Card | $61.69 |
| BCBS | Excellus Exchange | $61.69 |
| BCBS | Excellus Federal | $61.69 |
| BCBS | Excellus HMO Blue Access | $61.69 |
| BCBS | Excellus PPO/EPO | $61.69 |
| BCBS | Excellus Preferred PPO | $61.69 |
| BCBS | Highmark HMO | $63.38 |
| BCBS | Empire | $63.90 |
| Emblem | Managed Medicaid | $78.19 |
| Cdphp | Managed Medicaid | $78.63 |
Inpatient
$91.78cash price (self-pay)
$184list price
$32.94–$165range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| BCBS | Excellus Child Health Plus Managed Medicaid | $33.65 |
| BCBS | Excellus Essential Managed Medicaid | $33.65 |
| BCBS | Excellus Healthy NY EPO Managed Medicaid | $33.65 |
| BCBS | Excellus Healthy NY Managed Medicaid | $33.65 |
| BCBS | Excellus HMO Blue Option Managed Medicaid | $33.65 |
| BCBS | Excellus Safety Net | $33.65 |
| Cdphp | Child Health Plus | $36.06 |
| Cdphp | Managed Medicaid | $36.06 |
| BCBS | Anthem Medicare Advantage | $37.96 |
| BCBS | Excellus Blue Medicare Advantage | $37.96 |
| BCBS | Excellus Blue Medicare Advantage PPO | $37.96 |
| BCBS | Excellus Medicare Advantage HMO/POS | $37.96 |
| BCBS | Excellus Medicare Advantage PPO | $37.96 |
| BCBS | Excellus Sr Federal | $37.96 |
| BCBS | Highmark Medicare Advantage | $37.96 |
| Cdphp | Medicare Advantage HMO | $37.96 |
| Cdphp | Medicare Advantage PPO | $37.96 |
| Aetna | Medicare Advantage HMO | $39.10 |
| Aetna | Medicare Advantage PPO/EPO | $39.10 |
| Cdphp | Essentials | $43.27 |
| BCBS | Empire Exchange | $53.73 |
| Aetna | Allied Benefit | $56.53 |
| Aetna | Signature | $56.53 |
| BCBS | Anthem | $59.70 |
| BCBS | Empire Healthchoice | $59.70 |
| BCBS | Empire Healthchoice HMO/PPO/POS | $59.70 |
| BCBS | Excellus | $61.69 |
| BCBS | Excellus Alliance | $61.69 |
| BCBS | Excellus Blue Card | $61.69 |
| BCBS | Excellus Exchange | $61.69 |
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