CT head without contrast at Lehigh Valley Hospital - Schuylkill S. Jackson Street. CPT 70450.
What Lehigh Valley Hospital - Schuylkill S. Jackson Street publishes for this service, straight from its standard-charges file, last updated July 1, 2026.
Outpatient / ER
—cash price (self-pay)
—list price
$90.90–$1,101range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Cigna | Healthspring | $90.90 |
| Capital Blue Cross | Medicare Advantage | $107 |
| Jefferson Health Partners | All Products | $107 |
| Geisinger | Medicare Advantage | $109 |
| Highmark Blue Shield | Medicare Advantage | $109 |
| Aetna | Medicare Advantage | $112 |
| Amerihealth | Medicare Advantage | $112 |
| Devoted Health | Medicare Advantage | $112 |
| Humana | Medicare Advantage | $112 |
| Jefferson Health Partners | Medicare Advantage | $112 |
| Upmc | Medicare Advantage | $113 |
| Emblem | Medicare Advantage | $116 |
| Gateway | Medicare Advantage | $117 |
| Pa Health & Wellness (Allwell) | Medicare Advantage | $118 |
| Aetna | Managed Medicaid | $133 |
| Upmc | Snp | $135 |
| United Healthcare | Chip | $138 |
| United Healthcare | Managed Medicaid | $138 |
| Geisinger | Managed Medicaid | $139 |
| 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 | Chip | $255 |
| Geisinger | All Products | $271 |
| Meshoppen Stone | All Products | $299 |
| Highmark Blue Shield | Aca Narrow Network | $310 |
| Highmark Blue Shield | Tiered Products (Coalition) | $310 |
| Cigna | All Products | $324 |
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All common services at Lehigh Valley Hospital - Schuylkill S. Jackson Street