CT head without contrast at Montefiore Medical Center. CPT 70450.
What Montefiore Medical Center publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$1,223cash price (self-pay)
$1,870list price
$35.17–$15,973range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Medicare | Part B - PA's & NP's | $37.22 |
| Wellcare | Medicaid - PAs & NPs | $37.22 |
| United | Empire Plan MD/Dos | $41.60 |
| BCBS | Medicare | $43.12 |
| Oscar | Medicare | $43.79 |
| Medicare | Part B | $43.79 |
| Fidelis | Medicaid and HARP | $43.79 |
| Wellcare | Medicaid Specialists | $43.79 |
| Humana | Medicare | $44.67 |
| Affinity | Medicaid - Specialists | $46.09 |
| HIP | Medicaid Essential Plan 1-4 | $46.42 |
| HIP | Medicare | $49.04 |
| Wellcare | Medicaid - OB/GYN | $50.36 |
| Wellcare | Medicare-PCPs | $51.58 |
| Wellcare | Medicare Specialists | $51.58 |
| 1199 | 1199 | $54.00 |
| Fidelis | Medicare | $57.71 |
| BCBS | MHS Employees | $67.70 |
| New York Medicaid | Medicaid | $74.58 |
| Oscar | Commercial | $80.85 |
| Multiplan | Multiplan | $119 |
| Medicaid | Medicaid | $121 |
| Aetna | Medicare | $124 |
| MetroPlus | Default Duals | $127 |
| MetroPlus | Medicaid Advantage Plus | $127 |
| MetroPlus | Medicare | $127 |
| UHC/Oxford | Commercial Midlevels | $164 |
| MetroPlus | Exchange Products | $165 |
| SEIU1199 | Local 1199 | $181 |
| Cigna | Cigna Paraprofessionals | $184 |
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