CT head without contrast at Wayne Memorial Hospital. CPT 70450.
What Wayne Memorial Hospital publishes for this service, straight from its standard-charges file, last updated September 16, 2026.
Outpatient / ER
$2,831cash price (self-pay)
$4,044list price
$111–$3,235range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| MEDICARE ADVANTAGE 100Percentage | MEDICARE ADVANTAGE 100Percentage | $111 |
| Humana | Humana | $112 |
| Upmc Medicare | Upmc Medicare | $116 |
| Ambetter | AMBETTER | $118 |
| Pa Health & Wellness | Pa Health Wellness | $118 |
| WELLPATH (State Prison) | WELLPATH (State Prison) | $145 |
| WELLPATH (Federal Prison) | WELLPATH (Federal Prison) | $206 |
| Blue Cross | Blue Cross | $1,618 |
| KeyStone First | KEYSTONE FIRST | $1,618 |
| Upmc | Upmc | $2,184 |
| Geisinger | Geisinger | $2,790 |
| Cigna | Cigna | $2,831 |
| Phcs | Phcs | $2,831 |
| Self-Pay | Self-Pay | $2,831 |
| UHC | UHC | $2,831 |
| Aetna | Aetna | $3,033 |
| MultiPlan | MULTIPLAN | $3,235 |
Inpatient
$2,831cash price (self-pay)
$4,044list price
$1,618–$3,235range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| KeyStone First | KEYSTONE FIRST | $1,618 |
| Phcs | Phcs | $2,831 |
| Self-Pay | Self-Pay | $2,831 |
| MultiPlan | MULTIPLAN | $3,235 |
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