CT head without contrast at Jefferson Memorial Hospital. CPT 70450.
What Jefferson Memorial Hospital publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$898cash price (self-pay)
$4,060list price
$42.05–$4,060range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| TN Medicaid Non-Par | TN Medicaid Non-Par | $42.05 |
| United Healthcare | UHC Community Plan | $42.05 |
| Amerigroup | Amerigroup Community Care | $83.54 |
| NODE Tricare | NODE Tricare | $90.11 |
| Humana | NODE Humana MCR ADV | $93.33 |
| NODE Medicare Non Par | NODE Medicare Non Par | $93.33 |
| NODE Medicare Traditional | NODE Medicare Traditional | $93.33 |
| Node UHC Mcr Adv | Node UHC Mcr Adv | $93.33 |
| NODE ChampVA | NODE ChampVA | $94.85 |
| NODE BlueCare Plus TN MCR ADV | NODE BlueCare Plus TN MCR ADV | $94.85 |
| NODE Hospice Non Par Agree | NODE Hospice Non Par | $94.85 |
| NODE United Optum VA CCN | NODE United Optum VA CCN | $94.85 |
| Node Va | Node Va | $94.85 |
| Veterans Eval Services | Veterans Eval Services | $95.12 |
| NODE Devoted Health MCR ADV | NODE Devoted Health MCR ADV | $95.20 |
| NODE Farm Bureau MCR ADV | NODE Farm Bureau MCR ADV | $95.20 |
| NODE Aetna MCR ADV | NODE Aetna MCR ADV | $96.13 |
| Node BCBS Mcr Adv | Node BCBS Mcr Adv | $96.13 |
| NODE Healthspring MCR ADV | NODE Healthspring MCR ADV | $96.13 |
| NODE Amerigroup MCR ADV | NODE Amerigroup MCR ADV | $98.00 |
| United Healthcare | NODE UHC MCR Dual ADV | $98.00 |
| NODE Wellcare MCR ADV | NODE Wellcare MCR ADV | $98.64 |
| Node Nhc Mcr Adv | Node Nhc Mcr Adv | $103 |
| NODE US Dept of Labor | NODE US Dept of Labor | $119 |
| BlueCare | BCBS TN BlueCare | $134 |
| BlueCare | BCBS TN TennCare Select | $134 |
| Cigna | Cigna ALL | $137 |
| BlueCare | BCBS TN CoverKids | $145 |
| BCBS TN | BCBS TN Net S | $147 |
| NovaNet Work Comp TN | NovaNet Work Comp TN | $158 |
Inpatient
$898cash price (self-pay)
$4,060list price
$824–$4,060range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| CHS Group Health Plan BCBST | CHS Group Health Plan BCBST | $824 |
| Multiplan Complementary | Multiplan Complementary | $3,207 |
| United Healthcare | UHC APA | $4,060 |
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