CT head without contrast at Lewisgale Hospital-montgomery. CPT 70450.
What Lewisgale Hospital-montgomery publishes for this service, straight from its standard-charges file, last updated September 1, 2026.
Outpatient / ER
$3,316cash price (self-pay)
$3,316list price
$167–$4,530range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| United | AllPayerAppendix | $245 |
| Anthem | HIX | $298 |
| Anthem | HMO | $331 |
| Anthem | PPO | $331 |
| Cigna | NPR | $577 |
| Lifeworks | MCR | $630 |
| Universal Healthcare Group | MCR | $730 |
| Virginia Health Network | ULTRA | $1,161 |
| United | OptionsPPO | $1,283 |
| United | GlobalBenefitPlan | $1,492 |
| Greenvbrier Sporting Club | COMM | $1,990 |
| Multiplan | PHCS | $2,222 |
| Virginia Health Network | COMM | $2,354 |
| Virginia Health Network | WC | $2,354 |
| CorVel | WorkersComp | $2,388 |
| Richfield Nursing Center | COMM | $2,487 |
| Richfield Retirement Community | COMM | $2,487 |
| Community Care Network | COMM | $2,653 |
| Graham-White Manufacturing | COMM | $2,653 |
| OccuNet Workers Comp | WorkersComp | $2,653 |
| One Health Plan | POS | $2,653 |
| One Health Plan | PPO | $2,653 |
| Phcs | Comm | $2,819 |
| Patients Choice | COMM | $2,918 |
| Aetna | SharedSavings | $2,919 |
| 4Most | COMM | $2,984 |
| American Postal Workers Union | COMM | $2,984 |
| Star Transportation | COMM | $2,984 |
| Aetna | Broad | $4,530 |
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