CT head without contrast at Mercy Hospital of Folsom. CPT 70450.

What Mercy Hospital of Folsom publishes for this service, straight from its standard-charges file, last updated February 28, 2026.

Outpatient / ER

$1,841cash price (self-pay)

$4,733list price

$76.46–$5,233range insurers pay

Insurance plan	Negotiated rate
Hill Physicians \| Commercial\|All Plans	$76.46
Hill Physicians \| Medicare\|All Plans	$123
BCBS - Anthem \| Medicare\|All Other Plans	$132
Humana \| Commercial\|All Plans	$140
Aetna \| Medicare\|All Plans	$140
Blue Shield CA \| Medicare\|HMO	$140
Blue Shield CA \| Medicare\|PPO	$140
Kaiser \| Medicare\|All Plans	$140
United \| Medicare\|All Plans	$140
BCBS - Anthem \| Medicare\|Imperial	$144
United \| Medicaid\|< 21	$145
United \| Medicaid\|> 21	$145
Hill Physicians \| Medicaid\|All Plans	$160
United \| Commercial\|All Other Plans	$245
United \| Commercial\|HMO	$245
United \| Commercial\|Non-Options PPO	$245
Molina \| Medicaid\|All Plans	$273
California Health & Wellness \| Medicaid\|All Plans	$343
Health Net \| Medicaid\|All Plans	$343
Aetna \| Commercial\|All Other Plans	$491
Aetna \| Commercial\|HMO	$491
Aetna \| Commercial\|PPO	$491
WCMG \| Commercial\|All Plans	$521
BCBS - Anthem \| Medicaid\|All Plans	$536
Partnership Health Plan \| Medicaid\|All Plans	$625
Western Health Advantage \| Commercial\|All Plans	$1,657
Kaiser \| Medicaid\|All Plans	$1,941
BCBS - Anthem \| Commercial\|Connection EPO	$2,580
BCBS - Anthem \| Commercial\|All Other Plans	$3,225
First Health \| Commercial\|All Plans	$3,550

$1,841cash price (self-pay)

$4,733list price

$521–$3,881range insurers pay

Insurance plan	Negotiated rate
WCMG \| Commercial\|All Plans	$521
First Health \| Commercial\|All Plans	$3,550
Healthsmart \| Commercial\|All Plans	$3,550
Sutter Health \| Commercial\|All Plans	$3,786
MultiPlan \| Commercial\|All Plans	$3,881

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