CT head without contrast at Upper Valley Medical Center. CPT 70450.
What Upper Valley Medical Center publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$1,396cash price (self-pay)
$1,396list price
$102–$326range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Medicare Hmo | Aetna Medicare | $102 |
| Medicare Hmo | Humana Medicare | $105 |
| Medicare Hmo | Communicare Advantage I-Snp | $106 |
| Medicare Hmo | Buckeye Medicare Advantage | $108 |
| Medicare Hmo | Devoted Health Plans | $109 |
| Uhc | United Healthcare | $129 |
| Uhc | United Healthcare All Savers | $129 |
| Uhc | United Healthcare Choice Plus | $129 |
| Uhc | United Healthcare Golden Rule | $129 |
| Uhc | United Healthcare Ppo | $129 |
| Uhc | United Healthcare River Valley | $129 |
| Uhc | United Healthcare Surest | $129 |
| Uhc | United Medical Resources | $129 |
| Anthem | Anthem Marketplace-Exchange Plans | $148 |
| Contracted Commercial | Caresource Marketplace | $154 |
| Anthem | Anthem Blue Connection High Performance Network | $237 |
| Anthem | Anthem Bcbs | $316 |
| Medical Mutual | Medical Mutual Of Ohio | $326 |
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