CT head without contrast at Pennsylvania Hospital. CPT 70450.
What Pennsylvania Hospital publishes for this service, straight from its standard-charges file, last updated March 20, 2026.
Outpatient / ER
$7,188cash price (self-pay)
$7,188list price
$77.50–$7,188range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Managed Medicaid Other | Managed Medicaid Other | $77.50 |
| PA Health and Wellness Medicaid | PA Health and Wellness Medicaid | $89.13 |
| Keystone Mercy Health Plan | Keystone Mercy Health Plan | $99.20 |
| TriCare | TriCare | $110 |
| UPMC | UPMC Medicaid | $116 |
| PA Medical Assistance | Medicaid | $117 |
| US Family Health Plan | US Family Health Plan | $126 |
| UnitedHealthcare Community (fka AmeriChoice MA) | UnitedHealthcare Com | $153 |
| Keystone HMO Proactive | Keystone HMO Proactive | $243 |
| Independence Blue Cross/Keystone Health Plan East | Keystone Health Pl | $243 |
| IBC Commercial HPN | IBC Commercial HPN | $251 |
| Horizon Blue Cross of New Jersey | Horizon Blue Cross of NJ-PPO | $253 |
| Horizon Blue Cross of New Jersey | Horizon Blue Cross of NJ-Indemnity | $253 |
| UnitedHealthcare | UnitedHealthcare Compass Exchange | $407 |
| Independence Blue Cross/Personal Choice | Personal Choice-IBC PPO | $480 |
| UnitedHealthcare New Business | UnitedHealthcare New Business | $864 |
| UnitedHealthcare Non Options | UnitedHealthcare Non Options | $1,219 |
| Horizon NJ Health | Horizon NJ Health | $1,264 |
| PGM - Regie de l'assurance Maladie Quebec | PGM - Regie de lassurance | $1,653 |
| Preferred Health Care Eliance | Preferred Health Care Eliance | $1,869 |
| PGM - Kuwait Defense | PGM - Kuwait Defense | $2,516 |
| Qualcare | Qualcare | $2,731 |
| Wissahickon Hospice | Wissahickon Hospice | $2,875 |
| Pgm - Chop | Pgm - Chop | $2,875 |
| Independence Blue Cross | IBC Traditional | $3,058 |
| Olympus | Olympus | $3,493 |
| URN-Cancer Resource Services | URN-Cancer Resource Services | $3,594 |
| PGM - Royal Embassy of Saudi Arabia | PGM - Royal Embassy of Saudi Ara | $4,313 |
| PGM - Ontario Ministry of Health and Long-Term Care (OHIP) | PGM - Ont | $4,672 |
| PGM - Embassy of Qatar | PGM - Embassy of Qatar | $4,672 |
Inpatient
$7,188cash price (self-pay)
$7,188list price
$1,215–$7,188range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Horizon NJ Health | Horizon NJ Health | $1,215 |
| PGM - Regie de l'assurance Maladie Quebec | PGM - Regie de lassurance | $1,653 |
| Preferred Health Care Eliance | Preferred Health Care Eliance | $1,869 |
| Devon | Devon Premier | $2,731 |
| Pgm - Chop | Pgm - Chop | $2,875 |
| Coventry | HealthAmerica/Coventry SEPA | $2,875 |
| PGM - Kuwait Defense | PGM - Kuwait Defense | $3,235 |
| HealthAmerica/Coventry | HealthAmerica/HealthAssurance | $3,522 |
| URN-Cancer Resource Services | URN-Cancer Resource Services | $3,594 |
| First Health Global | First Health Global | $3,594 |
| Coventry | Coventry of Delaware | $3,666 |
| PGM - Royal Embassy of Saudi Arabia | PGM - Royal Embassy of Saudi Ara | $4,313 |
| Health Net | Health Net | $4,313 |
| PGM - Ontario Ministry of Health and Long-Term Care (OHIP) | PGM - Ont | $4,672 |
| Preferred Care | Preferred Care | $5,750 |
| PGM - Kuwait Oil | PGM - Kuwait Oil | $5,750 |
| PGM - Kuwait Health Division | PGM - Kuwait Health Division | $5,750 |
| Intergroup | Intergroup | $5,750 |
| Humana Choice Care | Humana Choice Care | $5,750 |
| Health America/CCN | First Health/ Coventry National | $5,750 |
| Devon Health Services Inc | Devon Health Services | $5,750 |
| UPMC | UPMC Medicaid | $7,188 |
| UnitedHealthcare Non Options | UnitedHealthcare Non Options | $7,188 |
| United Behavioral Health | United Behavioral Health | $7,188 |
| Quest Behavioral Health | Quest Behavioral Health | $7,188 |
| Managed Medicaid Other | Managed Medicaid Other | $7,188 |
| International PFS | International PFS | $7,188 |
| Horizon Blue Cross of New Jersey | Horizon Blue Cross of NJ-PPO | $7,188 |
| Horizon Blue Cross of New Jersey | Horizon Blue Cross of NJ-Indemnity | $7,188 |
| Health Partners | Health Partners Medicaid | $7,188 |
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