CT head without contrast at Mercy Hospital Ozark. CPT 70450.
What Mercy Hospital Ozark publishes for this service, straight from its standard-charges file, last updated June 8, 2026.
Outpatient / ER
$1,003cash price (self-pay)
$1,543list price
$57.46–$1,389range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Medicaid [20240] | Hb Ozkar Ok Medicaid | $57.46 |
| Usable Contracted [320409] | Hb Wldar,Ozkar,Prsar BCBS Comm/Exchange | $108 |
| Mc Anthem [20455] | Hb Wldar,Ozkar,Prsar BCBS Comm/Exchange | $108 |
| Blue Cross And Blue Shield [20053] | Hb Wldar,Ozkar,Prsar BCBS Comm/Ex | $108 |
| Summit Community Care Contracted [320368] | Hb Ozkar Summit | $165 |
| Medicaid [20240] | Hb Ozkar Ark Medicaid | $165 |
| Summit Community Care [20368] | Hb Ozkar Ark Medicaid | $165 |
| Caresource Medicaid Contracted [320460] | Hb Ozkar Caresource Medicaid | $168 |
| Caresource Medicaid [20460] | Hb Ozkar Caresource Medicaid | $168 |
| Empower Healthcare Solutions Medicaid Contracted [320118] | Hb Ozkar P | $210 |
| Empower Healthcare Solutions Medicaid [20118] | Hb Ozkar Passe Empower | $210 |
| Novasys Contracted [320285] | Hb Ftsm Novasys | $245 |
| United Medical Resources Contracted [320454] | Hb Ftsm,Wldar,Ozkar,Prs | $252 |
| United Healthcare Contracted [320396] | Hb Ftsm,Wldar,Ozkar,Prsar,Bnvr | $252 |
| United Healthcare [20396] | Hb Ftsm,Wldar,Ozkar,Prsar,Bnvr UHC | $252 |
| Optum Health Behavioral Solutions [520250] | Hb Ftsm,Wldar,Ozkar,Prsar | $252 |
| Arkansas Total Care Contracted [320039] | Hb Ozkar Passe Ar Total Care | $375 |
| Longevity Health Plan Medicare Contracted [320225] | Hb Ozkar Managed | $424 |
| Indian Health Service Contracted [320198] | Hb Ozkar Managed Medicare | $424 |
| Humana Medicare Advantage Contracted [320194] | Hb Ozkar Managed Medic | $424 |
| Nhc Advantage Medicare Contracted [320282] | Hb Ozkar Managed Medicare | $424 |
| Qual Choice Contracted [320325] | Hb Ozkar Managed Medicare | $424 |
| United Healthcare Contracted [320396] | Hb Ozkar Managed Medicare | $424 |
| Healthspring Medicare Advantage Contracted [320526] | Hb Ozkar Healths | $445 |
| Home State Health Plan Contracted [320187] | Hb Ozkar Novasys Ambetter | $625 |
| Novasys Contracted [320285] | Hb Ozkar Novasys Ambetter Exchange | $625 |
| Sunflower Health Plan Contracted [320369] | Hb Ozkar Novasys Ambetter | $625 |
| Qual Choice Contracted [320324] | Hb Ftsm,Wldar,Ozkar,Prsar, Bnvar Qua | $669 |
| Mercy Benefit Admin Contracted [320251] | Hb Ftsm Dec Quiktrip Co | $926 |
| Mercy Benefit Admin Contracted [320251] | Hb Wldar,Ozkar,Prsar,Bnvar,B | $1,312 |
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