CT head without contrast at UPMC Wellsboro. CPT 70450.
What UPMC Wellsboro publishes for this service, straight from its standard-charges file, last updated March 6, 2026.
Outpatient / ER
$1,603cash price (self-pay)
$2,547list price
$99.20–$2,537range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| United Healthcare Community Plan for Families | PA Medicaid | $99.20 |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $128 |
| Geisinger | Medicaid/CHIP | $128 |
| UPMC Health Plan | CHIP | $128 |
| UPMC Health Plan | Managed Medicaid | $128 |
| Highmark Wholecare (prev Gateway) | Medicaid | $130 |
| Health Partners Plans (Jefferson Health Plan) | Medicaid/CHIP | $176 |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $199 |
| Aetna | Medicare | $458 |
| Highmark BCBS of PA | Medicare | $509 |
| Highmark Wholecare (prev Gateway) | Medicare | $509 |
| UPMC Health Plan | Managed Medicare | $520 |
| UPMC Work Partners | Workers Comp | $524 |
| Cigna | Medicare | $535 |
| United Healthcare | Medicare | $545 |
| PA Health & Wellness | Allwell Medicare Advantage DSNP/Medicare Advant | $550 |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $1,094 |
| UPMC Health Plan | Commercial | $1,110 |
| Highmark BCBS of PA | Commercial | $1,288 |
| Wirerope Works | Commercial | $1,416 |
| Geisinger | Commercial | $1,706 |
| Aetna | PEBTF Custom Network | $1,868 |
| Multiplan | Auto | $1,987 |
| Multiplan | PPO (Includes PHCS as a Payer) | $1,987 |
| United Healthcare | Commercial | $2,165 |
| Aetna | Commercial | $2,198 |
| America's Choice | PPO | $2,292 |
| InterGroup | PPO | $2,292 |
| Multiplan | Worker's Compensation | $2,420 |
Inpatient
$1,603cash price (self-pay)
$2,547list price
$1,347–$2,537range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Wirerope Works | Commercial | $1,416 |
| Aetna | PEBTF Custom Network | $1,868 |
| Multiplan | Auto | $1,987 |
| Multiplan | PPO (Includes PHCS as a Payer) | $1,987 |
| United Healthcare | Commercial | $2,165 |
| Aetna | Commercial | $2,198 |
| America's Choice | PPO | $2,292 |
| InterGroup | PPO | $2,292 |
| Multiplan | Worker's Compensation | $2,420 |
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