Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
Ct head/brain w/o dye
Lebanon, NH
See all hospitals reporting CPT 70450 →Price type
Mary Hitchcock Memorial Hospital’s median price of $176 is 45% below the median hospital's median price ($317), higher than 33% of the 2,638 hospitals reporting CPT 70450. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 10 payers, 102 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
Filter by billing methodology
Filter by billing class
| # | ||||
|---|---|---|---|---|
| 1 | Anthem anthem - medicare advantage - dhp professional · fee schedule · outpatient | $47.35 | $47.35 | $39.02 – $55.68 |
| 2 | Bcbs Vt bcbs of vermont - medicare advantage - dhp professional · fee schedule · outpatient | $47.35 | $47.35 | $39.02 – $55.68 |
| 3 | UnitedHealthcare uhc - medicare advantage - dhp professional · fee schedule · outpatient | $47.35 | $47.35 | $39.02 – $55.68 |
| 4 | UnitedHealthcare uhc - va community care network - dhpn professional · fee schedule · outpatient | $47.35 | $47.35 | $39.02 – $55.68 |
| 5 | Aetna aetna medicare advantage - dhp professional · fee schedule · outpatient | $48.77 | $48.77 | $40.19 – $57.35 |
| 6 | WellCare wellcare - medicare advantage - dhp professional · fee schedule · outpatient | $49.24 | $49.24 | $40.58 – $57.90 |
| 7 | Ambetter ambetter commercial - exchange behavioral health - dhp professional · fee schedule · outpatient | $49.72 | $49.72 | $40.97 – $58.46 |
| 8 | Amerihealth Caritas amerihealth caritas - nh managed medicaid - dhp professional · fee schedule · outpatient | $51.89 | $51.89 | $39.01 – $64.77 |
| 9 | Cigna cigna medicare advantage - dhp professional · fee schedule · outpatient | $57.35 | $56.04 | $40.19 – $70.57 |
| 10 | UnitedHealthcare uhc - tiered freedom plan professional · fee schedule · outpatient | $65.23 | $65.23 | $47.64 – $82.82 |
| 11 | UnitedHealthcare uhc - freedom plan - dhp professional · fee schedule · outpatient | $72.48 | $72.48 | $52.93 – $92.03 |
| 12 | Ambetter ambetter commercial - exchange - dhpn professional · fee schedule · outpatient | $91.98 | $91.98 | $55.68 – $128.27 |
| 13 | UnitedHealthcare uhc - va community care network - dhps professional · fee schedule · outpatient | $107.55 | $107.55 | $107.55 – $107.55 |
| 14 | Amerihealth Caritas amerihealth caritas - nh managed medicaid professional · percent of total billed charges · outpatientfrom % of charges | $109.11 | $109.11 | $109.11 – $109.11 |
| 15 | Anthem anthem - medicare advantage facility · case rate · outpatient | $119.00 | $119.00 | $119.00 – $119.00 |
| 16 | Bcbs Vt bcbs of vermont - medicare advantage facility · case rate · outpatient | $119.00 | $119.00 | $119.00 – $119.00 |
| 17 | UnitedHealthcare uhc - medicare advantage facility · case rate · outpatient | $119.00 | $119.00 | $119.00 – $119.00 |
| 18 | UnitedHealthcare uhc - va community care network facility · case rate · outpatient | $119.00 | $119.00 | $119.00 – $119.00 |
| 19 | Aetna aetna medicare advantage facility · case rate · outpatient | $122.57 | $122.57 | $122.57 – $122.57 |
| 20 | Cigna cigna medicare advantage facility · case rate · outpatient | $122.57 | $122.57 | $122.57 – $122.57 |
| 21 | WellCare wellcare - medicare advantage facility · case rate · outpatient | $123.76 | $123.76 | $123.76 – $123.76 |
| 22 | Ambetter ambetter commercial - exchange - dhps professional · fee schedule · outpatient | $127.54 | $127.54 | $92.55 – $162.52 |
| 23 | Cigna cigna hmo-pos professional · fee schedule · outpatient | $138.69 | $138.69 | $101.28 – $176.09 |
| 24 | Amerihealth Caritas amerihealth caritas - nh managed medicaid professional · fee schedule · outpatient | $154.65 | $154.65 | $154.65 – $154.65 |
| 25 | Cigna cigna hmo-pos - dhp professional · fee schedule · outpatient | $154.93 | $154.93 | $110.62 – $199.23 |
Last updated: Jan 1, 2026
See CT scan of head without contrast dye pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.