CT head without contrast at Jefferson Einstein Montgomery Hospital. CPT 70450.
What Jefferson Einstein Montgomery Hospital publishes for this service, straight from its standard-charges file, last updated September 15, 2026.
Outpatient / ER
$125cash price (self-pay)
—list price
$97.91–$506range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Jefferson | Health | $100 |
| PA | Health | $101 |
| US | Family | $103 |
| Geisinger | Medicaid | $105 |
| IBC | Medicare | $105 |
| Humana | Medicare | $105 |
| Trinity | Health | $105 |
| Devoted | Health | $105 |
| Health | Partners | $106 |
| United | Medicare | $109 |
| Cigna | Medicare | $109 |
| UPMC | Medicare | $111 |
| Provider | Partners | $111 |
| Highmark | Medicare | $111 |
| Aetna | Medicare | $112 |
| Advantra | Medicare | $112 |
| Highmark | Wholecare | $114 |
| United | Group | $114 |
| United | Healthcare | $115 |
| Wellcare | Medicare | $116 |
| Geisinger | Medicare | $121 |
| Keystone | First | $130 |
| IBC | Proactive | $147 |
| Ambetter | Commercial | $153 |
| UPMC | Medicaid | $184 |
| Cigna | Commercial | $205 |
| United | Commercial | $230 |
| Highmark | ACA | $232 |
| Aetna | Commercial | $236 |
| Cigna | PPO | $247 |
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All common services at Jefferson Einstein Montgomery Hospital