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CT head without contrast at Port Jervis Community Hospital. CPT 70450.

What Port Jervis Community Hospital publishes for this service, straight from its standard-charges file, last updated June 29, 2026.

Outpatient / ER

$2,089cash price (self-pay)
$2,089list price
$130–$6,653range insurers pay
Insurance planNegotiated rate
Beacon Medicare | Beacon Medicare$130
Hamaspik (Mcr) | Hamaspik (Mcr)$130
MEDICARE MANAGED 100 Percent BSC | MEDICARE MANAGED 100 Percent BSC$130
Mvp Gold (Mcr) | Mvp Gold (Mcr)$130
Tricare | Tricare$131
Medicare | Medicare$131
Emblem Ghi/Hip Medicare | Emblem Ghi/Hip Medicare$132
Affinity By Molina Mcr | Affinity By Molina Mcr$136
Health First Medicare | Health First Medicare$139
Beacon Exchange | Beacon Exchange$156
Beacon Commercial | Beacon Commercial$169
Aetna Hp Network | Aetna Hp Network$208
Emblem Select Care (Exchange) | Emblem Select Care (Exchange)$221
Aetna | Aetna$232
Aetna Employee | Aetna Employee$232
Emblem Ghi/Hip PPO | Emblem Ghi/Hip PPO$260
Cigna PPO | Cigna PPO$269
Mvp Exchange | Mvp Exchange$287
Geisinger Health Commercial/Exchange | Geisinger Health Commercial/Exc$429
Mvp HMO/PPO | Mvp HMO/PPO$558
SELF-PAY - CC 30% | SELF-PAY - CC 30 PerCent$627
Blue Cross Connection/Exchange | Blue Cross Connection/Exchange$794
Cdphp | Cdphp$1,045
Self-Pay - Cc 50% | Self-Pay - Cc 50$1,045
Self-Pay | Self-Pay$1,192
Blue Cross Small Group | Blue Cross Small Group$1,294
Blue Cross HMO | Blue Cross HMO$1,330
Magnacare Standard | Magnacare Standard$1,462
Multiplan | Multiplan$1,567
Phcs | Phcs$1,567

Inpatient

$2,089cash price (self-pay)
$2,089list price
$627–$1,462range insurers pay
Insurance planNegotiated rate
SELF-PAY - CC 30% | SELF-PAY - CC 30 PerCent$627
Cdphp | Cdphp$1,045
Self-Pay - Cc 50% | Self-Pay - Cc 50$1,045
Magnacare Standard | Magnacare Standard$1,462
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All common services at Port Jervis Community Hospital