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CT head without contrast at Lehigh Valley Hospital - Dickson City. CPT 70450.

What Lehigh Valley Hospital - Dickson City publishes for this service, straight from its standard-charges file, last updated July 1, 2026.

Outpatient / ER

—cash price (self-pay)
—list price
$86.56–$620range insurers pay
Insurance planNegotiated rate
Cigna | Healthspring$86.56
Jefferson Health Partners | All Products$102
Highmark Blue Shield | Medicare Advantage$104
Aetna | Medicare Advantage$107
Amerihealth | Medicare Advantage$107
Devoted Health | Medicare Advantage$107
Geisinger | Medicare Advantage$107
Humana | Medicare Advantage$107
Jefferson Health Partners | Medicare Advantage$107
Upmc | Medicare Advantage$108
Emblem | Medicare Advantage$110
Gateway | Medicare Advantage$111
Pa Health & Wellness (Allwell) | Medicare Advantage$112
Geisinger | Managed Medicaid$128
Upmc | Snp$129
United Healthcare | Chip$134
United Healthcare | Managed Medicaid$134
Aetna | Managed Medicaid$152
Jefferson Health Partners | Managed Medicaid$158
Pa Health & Wellness | Managed Medicaid$158
Highmark Wholecare/Gateway | Managed Medicaid$159
Amerihealth Caritas | Managed Medicaid$169
Upmc | Managed Medicaid$196
Highmark Blue Shield | Aca Narrow Network$196
Highmark Blue Shield | Tiered Products (Coalition)$231
Geisinger | All Products$241
Highmark Blue Shield | All Products$256
Highmark Blue Shield | Chip$277
Meshoppen Stone | All Products$285
Ambetter | All Products$309
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All common services at Lehigh Valley Hospital - Dickson City