CT head without contrast at Southwestern Vermont Medical Center. CPT 70450.
What Southwestern Vermont Medical Center publishes for this service, straight from its standard-charges file, last updated January 1, 2025.
Outpatient / ER
$72.10cash price (self-pay)
$2,538list price
$26.94–$2,462range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| CDPHP | Medicaid/CHP | $26.94 |
| Health New England | Commercial | $44.01 |
| Allegiance | SWVT Employee Only | $52.33 |
| UHC | Commercial | $52.33 |
| CDPHP | Commercial/Exchange | $53.45 |
| Blue Cross | All Vermont Plans | $53.47 |
| MVP | Medicaid | $72.00 |
| MVP | Essential plan 1,2,5,6 | $86.40 |
| UHC | Medicaid | $86.40 |
| BMC | Healthnet Plan | $91.84 |
| HNE | Medicaid | $91.84 |
| CIGNA | Medicare Advantage | $109 |
| CDPHP | Medicare | $109 |
| Blue Cross | Medicare | $109 |
| Fidelis | Medicare | $109 |
| HNE | Medicare | $109 |
| Humana | Medicare | $109 |
| MVP | Medicare | $109 |
| UHC | Medicare | $109 |
| Wellcare | Medicare | $109 |
| Fidelis | Medicaid | $109 |
| Fidelis | CHP | $109 |
| Fidelis | Essential (Aliessa) | $109 |
| Aetna | Medicare | $109 |
| Fidelis | Exchange (QHP) | $114 |
| Fidelis | Essential | $114 |
| MVP | NY Exchange Individual Plans | $123 |
| Cigna | Commercial | $160 |
| MVP | VT Commercial/VT Exchange | $161 |
| MVP | NY Commercial/ Exchange Group plans | $161 |
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