CT head without contrast at Brattleboro Memorial Hospital. CPT 70450.
What Brattleboro Memorial Hospital publishes for this service, straight from its standard-charges file, last updated December 29, 2025.
Outpatient / ER
$1,204cash price (self-pay)
$1,720list price
$33.47–$1,669range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Amerihealth-Caritas | Managed Medicaid | $82.20 |
| New Hampshire Healthy Families | Managed Medicaid | $82.20 |
| Wellsense | Managed Medicaid | $82.20 |
| Anthem | Individual Pathway Exchange | $102 |
| Anthem | Medicare Advantage | $102 |
| Harvard Pilgrim Health Care | Medicare Advantage | $102 |
| Martin's Point | Medicare Advantage | $102 |
| MVP Healthcare | Medicare Advantage | $102 |
| United Healthcare | Medicare Advantage | $102 |
| Humana | Medicare Advantage | $102 |
| Cigna | Medicare Advantage | $104 |
| Blue Cross Blue Shield of Vermont | Medicare Advantage | $104 |
| New Hampshire Healthy Families (WellCare) | Medicare Advantage | $107 |
| Wellsense | Medicare Advantage | $109 |
| Anthem | Group Pathway Exchange | $143 |
| Anthem | Commercial | $225 |
| Tufts Health Plan | All Commercial Plans | $289 |
| Tufts Health Plan | Managed Medicaid | $289 |
| Tufts Health Plan | Medicare Advantage | $289 |
| Harvard Pilgrim Health Care | Exchange | $1,001 |
| Harvard Pilgrim Health Care | Elevate Health | $1,307 |
| Harvard Pilgrim Health Care | Commercial | $1,497 |
| Vermont Health Plan | All Plans | $1,540 |
| Blue Cross Blue Shield of Vermont | Commercial | $1,548 |
| MVP Healthcare | Commercial | $1,548 |
| Cigna | Commercial | $1,634 |
| United Healthcare | Commercial | $1,634 |
| MultiPlan | All Plans | $1,669 |
| Aetna | All Plans | $1,669 |
| Coventry | All Plans | $1,669 |
Inpatient
$1,204cash price (self-pay)
$1,720list price
$1,001–$1,669range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Harvard Pilgrim Health Care | Exchange | $1,001 |
| Harvard Pilgrim Health Care | Elevate Health | $1,307 |
| Tufts Health Plan | Managed Medicaid | $1,322 |
| Harvard Pilgrim Health Care | Commercial | $1,497 |
| Tufts Health Plan | Medicare Advantage | $1,498 |
| Vermont Health Plan | All Plans | $1,540 |
| Blue Cross Blue Shield of Vermont | Commercial | $1,548 |
| MVP Healthcare | Commercial | $1,548 |
| Tufts Health Plan | All Commercial Plans | $1,563 |
| Cigna | Commercial | $1,634 |
| United Healthcare | Commercial | $1,634 |
| Aetna | All Plans | $1,669 |
| Coventry | All Plans | $1,669 |
| Health New England | All Plans | $1,669 |
| MultiPlan | All Plans | $1,669 |
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