CT head without contrast at Adena Fayette Medical Center. CPT 70450.
What Adena Fayette Medical Center publishes for this service, straight from its standard-charges file, last updated August 19, 2026.
Outpatient / ER
$764cash price (self-pay)
$1,529list price
$214–$1,727range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Care Source Just4Me | Commercial | $214 |
| Molina Marketplace | Commercial | $219 |
| Anthem | Medicare Advantage | $397 |
| Medical Mutual of Ohio | Medicare Advantage | $627 |
| Molina | Medicare Advantage/Dual | $627 |
| Medigold | Medicare Advantage | $627 |
| Humana/Choice Care | Medicare Advantage | $627 |
| Buckeye Community Health Plan | Medicare Advantage | $627 |
| Aetna | Medicare Advantage | $627 |
| Care Source | Medicare Advantage | $639 |
| Anthem Pathway | HMO/PPO | $737 |
| Anthem | Blue Preferred/Blue Access | $929 |
| United Healthcare | Commercial | $952 |
| United Medical Resources OHCP | Commercial | $962 |
| United Healthcare River Valley | Commercial | $962 |
| GEHA UHC Shared Services | Commercial | $962 |
| Anthem | Traditional | $1,001 |
| Great West Health Care/Cigna | Commercial | $1,053 |
| Ohio PPO Connect | Commercial | $1,070 |
| The Health Plan | Commercial | $1,070 |
| Medical Mutual of Ohio | Commercial | $1,154 |
| Medical Mutual of Ohio SuperMed | HMO/PPO/POS/Preferred | $1,154 |
| Medical Mutual of Ohio | Traditional Commercial | $1,154 |
| Ohio Health Choice | Commercial | $1,217 |
| First Health | Commercial | $1,250 |
| Aetna (Cofinity/Meritain) | Commercial | $1,250 |
| Sidecar Health | Commercial | $1,727 |
Inpatient
$764cash price (self-pay)
$1,529list price
$671–$1,217range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Anthem Pathway | HMO/PPO | $671 |
| Anthem | Blue Preferred/Blue Access | $920 |
| United Healthcare | Commercial | $952 |
| GEHA UHC Shared Services | Commercial | $962 |
| United Healthcare River Valley | Commercial | $962 |
| United Medical Resources OHCP | Commercial | $962 |
| Anthem | Traditional | $992 |
| Great West Health Care/Cigna | Commercial | $1,053 |
| Ohio PPO Connect | Commercial | $1,070 |
| The Health Plan | Commercial | $1,070 |
| Medical Mutual of Ohio | Commercial | $1,154 |
| Medical Mutual of Ohio | Traditional Commercial | $1,154 |
| Medical Mutual of Ohio SuperMed | HMO/PPO/POS/Preferred | $1,154 |
| First Health | Commercial | $1,198 |
| Aetna (Cofinity/Meritain) | Commercial | $1,211 |
| Ohio Health Choice | Commercial | $1,217 |
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