CT head without contrast at UPMC Hamot. CPT 70450.
What UPMC Hamot publishes for this service, straight from its standard-charges file, last updated March 6, 2026.
Outpatient / ER
$3,127cash price (self-pay)
$5,212list price
$98.61–$4,170range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Fidelis | Medicare | $117 |
| UPMC Health Plan | Partners/Select | $119 |
| Wellcare | Medicare Advantage | $121 |
| BCBS of Western NY | Medicare Advantage | $123 |
| United Healthcare | Medicare | $125 |
| Cigna | Medicare | $126 |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advant | $126 |
| AmeriHealth Caritas | Medicare | $126 |
| UPMC Health Plan | Managed Medicaid | $128 |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $134 |
| Aetna | Medicaid | $140 |
| Geisinger | Medicaid/CHIP | $162 |
| Independent Health | Medicare Advantage | $166 |
| Highmark Wholecare (prev Gateway) | Medicaid | $173 |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $176 |
| BCBS of Western NY | Commercial | $180 |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $182 |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $199 |
| Independent Health | Commercial | $222 |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Me | $258 |
| UPMC Health Plan | Commercial | $410 |
| UPMC Work Partners | Workers Comp | $568 |
| United Healthcare | Commercial | $693 |
| Highmark BCBS of PA | Commercial - Indemnity/Commercial - Social Missi | $778 |
| Univera | Univera_Medicare_Hamot_2024 | $782 |
| Aetna | Medicare | $1,102 |
| Highmark BCBS of PA | UPMC Emergent | $1,245 |
| Aetna | Commercial | $1,303 |
| Highmark Wholecare (prev Gateway) | Medicare | $1,366 |
| Cigna | New Business ASO | $1,564 |
Inpatient
$3,127cash price (self-pay)
$5,212list price
$1,407–$4,170range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna | Commercial | $1,407 |
| Cigna | New Business ASO | $1,564 |
| Cigna | NBR ASO/FI | $1,564 |
| Univera | Commercial | $1,720 |
| Cigna | Commercial | $2,085 |
| Cigna | EBR | $2,085 |
| InterGroup | Health Coalition Partners/PPO | $3,388 |
| Aetna | AXA/MMO | $3,648 |
| Multiplan | PPO (Includes PHCS as a Payer) | $3,648 |
| InterGroup | Beech Street | $4,170 |
| Multiplan | Complimentary Network Rate (Includes Multiplan as Payer) | $4,170 |
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