CT head without contrast at Jefferson Hospital. CPT 70450.
What Jefferson Hospital publishes for this service, straight from its standard-charges file, last updated April 14, 2026.
Outpatient / ER
$21.47cash price (self-pay)
$789list price
$32.93–$424range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Univera | Univera Essential Plan | $71.99 |
| Univera | Univera Healthy New York | $71.99 |
| Highmark | Highmark Together Blue | $76.72 |
| Highmark | Highmark My Direct Blue | $84.72 |
| Univera | Univera Medicare | $88.92 |
| Highmark | Highmark Community Blue Medicare PPO | $94.12 |
| Highmark | Highmark Complete Blue Medicare | $94.12 |
| Highmark | Highmark Freedom Blue | $95.14 |
| American Health Plans | American Health Plans Medicare | $102 |
| Univera | Univera Commercial | $104 |
| Devoted Medicare | Devoted Health Medicare Advantage | $105 |
| Aetna | Aetna Medicare | $106 |
| Highmark | Highmark Community Blue Medicare HMO | $106 |
| Highmark | Highmark Security Blue | $106 |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $107 |
| Cigna | Cigna Medicare | $109 |
| Highmark | Highmark Social Mission Indemnity | $111 |
| Highmark | Highmark Social Mission Managed Care | $111 |
| Highmark | Highmark My Blue Access | $118 |
| University of Pittsburgh Medical Center | University of Pittsburgh Med | $118 |
| Highmark | Highmark Blue High Performance | $120 |
| Highmark | Highmark Community Blue | $120 |
| Highmark | Highmark Connect Blue | $120 |
| Highmark | Highmark Indemnity | $120 |
| Highmark | Highmark Managed Care | $120 |
| Highmark | Highmark Performance Blue | $120 |
| United Healthcare | United Healthcare Medicaid | $124 |
| United Healthcare | United Healthcare Of OH Medicaid | $131 |
| Highmark | Highmark Performance Blue Enhanced | $136 |
| Aetna | Aetna Better Health CHIP | $140 |
Inpatient
$1,187cash price (self-pay)
$1,465list price
$32.93–$213range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $41.21 |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $41.21 |
| Pennsylvania Health and Wellness | PA Health and Wellness Medicaid CHC | $51.81 |
| Univera | Univera Essential Plan | $55.52 |
| Univera | Univera Healthy New York | $55.52 |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $56.91 |
| Amerihealth | Amerihealth Caritas HC Medicaid | $56.91 |
| Geisinger | Geisinger CHIP | $56.91 |
| Geisinger | Geisinger Medicaid HC | $56.91 |
| United Healthcare | United Healthcare Medicaid | $56.91 |
| Univera | Univera Medicare | $68.58 |
| Univera | Univera Commercial | $80.36 |
| Highmark | Highmark Together Blue | $80.75 |
| Highmark | Highmark Blue High Performance | $85.42 |
| Highmark | Highmark Community Blue | $85.42 |
| Highmark | Highmark Connect Blue | $85.42 |
| Highmark | Highmark Indemnity | $85.42 |
| Highmark | Highmark Managed Care | $85.42 |
| Highmark | Highmark My Blue Access | $85.42 |
| Highmark | Highmark My Direct Blue | $85.42 |
| Highmark | Highmark Performance Blue | $85.42 |
| Highmark | Highmark Social Mission Indemnity | $85.42 |
| Highmark | Highmark Social Mission Managed Care | $85.42 |
| Cigna | Cigna Commercial | $105 |
| United Healthcare | United Healthcare Navigate Nexus Commercial | $125 |
| United Healthcare | United Healthcare Of OH Medicaid | $131 |
| United Healthcare | United Healthcare Commercial | $131 |
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