CT head without contrast at UPMC Lititz. CPT 70450.
What UPMC Lititz publishes for this service, straight from its standard-charges file, last updated March 6, 2026.
Outpatient / ER
$797cash price (self-pay)
$1,328list price
$101–$1,129range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Highmark BCBS of PA | Medicare | $101 |
| United Healthcare Community Plan for Families | PA Medicaid | $102 |
| Aetna | Medicare | $107 |
| Cigna | Medicare | $107 |
| Geisinger | Medicare | $107 |
| United Healthcare | Medicare | $109 |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $148 |
| Highmark Wholecare (prev Gateway) | Medicaid | $148 |
| UPMC Health Plan | Managed Medicaid | $152 |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $159 |
| Keystone Autism Services | ACAP | $163 |
| Geisinger | Medicaid/CHIP | $170 |
| Prime Net | Managed Medicare | $250 |
| OneCall | Worker's Comp | $250 |
| Capital Blue Cross | Medicare Advantage | $266 |
| Keystone Health Plan | Medicare Advantage | $266 |
| Premier Comp Solutions | Worker's Comp | $280 |
| Highmark BCBS of PA | Commercial - Children's Health Insurance | $302 |
| Highmark BCBS of PA | Medicaid | $314 |
| Highmark BCBS of PA | Commercial | $321 |
| Prime Net | Legacy Commercial | $518 |
| Aetna | ACO | $522 |
| Prime Net | ACO | $522 |
| UPMC Work Partners | Workers Comp | $549 |
| Cigna | Commercial | $589 |
| Prime Net | NonGateKeeper | $618 |
| Aetna | Commercial | $622 |
| Prime Net | GateKeeper | $622 |
| Capital Blue Cross | CHIP | $623 |
| Capital Blue Cross | Commercial | $623 |
Inpatient
$797cash price (self-pay)
$1,328list price
$493–$1,129range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Prime Net | Legacy Commercial | $493 |
| Aetna | ACO | $497 |
| Prime Net | ACO | $497 |
| Prime Net | NonGateKeeper | $587 |
| Aetna | Commercial | $591 |
| Prime Net | GateKeeper | $591 |
| Preferred Healthcare System | Inter County Health Plan/Lancaster Gener | $730 |
| Geisinger | Commercial | $959 |
| Prime Net | FH-Medical Rental | $961 |
| Preferred Healthcare System | PPO | $996 |
| Multiplan | PPO (Includes PHCS and Humana as Payers) | $1,129 |
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