CT head without contrast at Samaritan Medical Center. CPT 70450.
What Samaritan Medical Center publishes for this service, straight from its standard-charges file, last updated February 2, 2026.
Outpatient / ER
$3,320cash price (self-pay)
$3,320list price
$36.50–$2,822range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Empire | Commercial | $60.52 |
| Fidelis | Medicaid Managed Care/Child Health Plus and Family Health Pl | $63.70 |
| Fidelis | Essential Plan Program/Aliessa and Essential Plan Program-QH | $70.07 |
| Fidelis | Medicare Advantage/Managed Long Term Care | $82.91 |
| Wellcare | Medicare Advantage | $82.91 |
| Fidelis | Health Benefit Exchange | $91.19 |
| Capital District Physician's Health Plan, Inc (CDPHP) | Medicare Advan | $131 |
| Excellus | Medicare Advantage | $131 |
| Aetna | Medicare Advantage | $133 |
| United Healthcare | Medicare Advantage | $134 |
| MVP | Medicare Advantage | $137 |
| Capital District Physician's Health Plan, Inc (CDPHP) | Commercial | $198 |
| Excellus | Commercial | $379 |
| MVP | Individual Commercial (HMO, EPO/PPO) Plans | $2,171 |
| MVP | Student Health Plans | $2,171 |
| MVP | Small/Large Group Commercial (HMO, EPO/PPO, ASO) Plans | $2,523 |
| UMR | Commercial | $2,590 |
| GHI Emblem | Commercial | $2,756 |
| Aetna | Commercial | $2,822 |
| United Healthcare | Commercial | $2,822 |
Inpatient
$3,320cash price (self-pay)
$3,320list price
$2,656–$2,656range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Capital District Physician's Health Plan, Inc (CDPHP) | Commercial | $2,656 |
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