CT head without contrast at Gifford Medical Center. CPT 70450.
What Gifford Medical Center publishes for this service, straight from its standard-charges file, last updated February 12, 2026.
Outpatient / ER
$77.00cash price (self-pay)
$154list price
$38.12–$1,613range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Blue Cross Blue Shield of New Hampshire | Qualified Health Plan | $68.21 |
| Blue Cross Blue Shield of Vermont | Medicare Advantage | $69.30 |
| Martins Point Health Care | Commercial | $69.30 |
| MVP Health Care of NY | Medicare Advantage | $69.30 |
| United Healthcare | Medicare Advantage | $69.30 |
| United Healthcare | VA CCN | $69.30 |
| Blue Cross Blue Shield of New Hampshire | SHOP On Exchange | $92.71 |
| Blue Cross Blue Shield of Vermont | Vermont Health Plan | $122 |
| Cigna | Commercial | $123 |
| Blue Cross Blue Shield of Vermont | Managed Care | $125 |
| Blue Cross Blue Shield of Vermont | Commercial | $131 |
| MVP Health Care of NY | Commercial | $131 |
| Multiplan | Commercial | $143 |
| Aetna of VT | Commercial | $146 |
| United Healthcare | Commercial | $146 |
| Blue Cross Blue Shield of New Hampshire | Commercial | $299 |
| Blue Cross Blue Shield of New Hampshire | SHOP Off Exchange | $299 |
| Harvard Pilgrim Health Care | HMO | $741 |
| Harvard Pilgrim Health Care | PPO | $741 |
Inpatient
$77.00cash price (self-pay)
$926list price
$114–$1,613range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Blue Cross Blue Shield of New Hampshire | Commercial | $685 |
| Blue Cross Blue Shield of New Hampshire | SHOP Off Exchange | $685 |
| Blue Cross Blue Shield of Vermont | Vermont Health Plan | $741 |
| Cigna | Commercial | $741 |
| Harvard Pilgrim Health Care | HMO | $741 |
| Harvard Pilgrim Health Care | PPO | $741 |
| Blue Cross Blue Shield of Vermont | Managed Care | $778 |
| Blue Cross Blue Shield of Vermont | Commercial | $787 |
| MVP Health Care of NY | Commercial | $787 |
| Multiplan | Commercial | $861 |
| Aetna of VT | Commercial | $880 |
| United Healthcare | Commercial | $880 |
Billed more than this?
Scan my billSnap a photo of your bill. We compare every line with these prices and coding rules, free.