CT head without contrast at WellSpan Ephrata Community Hospital. CPT 70450.
What WellSpan Ephrata Community Hospital publishes for this service, straight from its standard-charges file, last updated January 1, 2026.
Outpatient / ER
$296cash price (self-pay)
$1,610list price
$96.88–$1,127range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| UPMC_Medicaid | All_Plans | $96.88 |
| Highmark_Medicare | All_Plans | $104 |
| Aetna_Advantra_Medicare | All_Plans | $106 |
| Aetna_Medicare | All_Plans | $106 |
| Geisinger_Gold_Medicare | All_Plans | $108 |
| UPMC_Medicare | UPMC_for_Life_Community_HealthChoices | $108 |
| UPMC_Medicare | UPMC_for_Life_Complete_Care | $108 |
| Highmark_Wholecare_Gateway_Medicare | All_Plans | $108 |
| Amerihealth_Medicare | All_Plans | $108 |
| Jefferson_Health_Medicare_Advantage | All_Plans | $111 |
| PA_Health_&_Wellness_Medicare | All_Plans | $111 |
| Highmark_Wholecare_Gateway_Medicaid | All_Plans | $146 |
| Geisinger_Medicaid | All_Plans | $146 |
| Health_Partners_Medicaid | All_Other_Plans | $146 |
| PA_Health_&_Wellness_Medicaid | All_Plans | $146 |
| Highmark | Higmark_Healthy_Kids | $159 |
| Amerihealth_Caritas_Medicaid | All_Plans | $166 |
| Health_Partners_Medicaid | Kidz_Partners | $169 |
| United_Medicaid | Community_Plan_For_Kids | $180 |
| Blue_Cross | Capital_Blue_Performance_PPO | $230 |
| WellSpan_Capital_Blue_Cross | All_Plans | $252 |
| Blue_Cross_BlueJourney_Medicare | All_Plans | $283 |
| Highmark | My_Direct_Blue | $377 |
| Highmark | My_Priority_Blue_Flex | $377 |
| Highmark | Choice_Blue_PPO | $391 |
| Highmark | Performance_Blue | $391 |
| Highmark | Blue_Cross_High_Performance_Network | $391 |
| Aetna_Better_Health_Kids | All_Plans | $397 |
| Highmark | All_Other_Plans | $471 |
| Blue_Cross | Capital_Cares_4_kids | $726 |
Inpatient
$296cash price (self-pay)
$1,610list price
$1,028–$1,288range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Cigna | All_Plans | $1,028 |
| Independence_Blue_Cross | All_Plans | $1,047 |
| Tower Health | All_Plans | $1,103 |
| PHC | All_Plans | $1,143 |
| UPMC | Employees_And_Dependents | $1,288 |
| UPMC | UPMC_For_Kids | $1,288 |
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