CT head without contrast at CHI Health Missouri Valley. CPT 70450.
What CHI Health Missouri Valley publishes for this service, straight from its standard-charges file, last updated February 28, 2026.
Outpatient / ER
$1,254cash price (self-pay)
$2,560list price
$896–$2,509range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Humana | Medicare|All Plans | $896 |
| Medica | Medicare|All Plans | $896 |
| PACE | Medicare|All Plans | $896 |
| United | Medicare|All Plans | $896 |
| Centene | Medicare|All Plans | $914 |
| Amerigroup | Medicare|All Plans | $941 |
| Great Plains | Medicare|All Plans | $941 |
| United | Medicaid|Community Plan | $1,101 |
| Amerigroup | Medicaid|All Plans | $1,123 |
| Total Care | Medicaid|All Plans | $1,123 |
| IAMolina | Medicaid|All Plans | $1,145 |
| BCBS - NE | Commercial|BluePrint | $1,335 |
| BCBS - NE | Commercial|All Other Plans | $1,405 |
| AMPS | Commercial|All Plans | $1,989 |
| Medica | Commercial|All Other Plans | $2,330 |
| Medica | Commercial|CHI Health | $2,330 |
| Greater Omaha Packing | Commercial|Broad Network | $2,458 |
| Greater Omaha Packing | Commercial|Narrow Network | $2,458 |
| Medica | Commercial|ACO | $2,458 |
| Medica | Commercial|Open Access | $2,458 |
| Midlands Choice | Commercial|Premier | $2,458 |
| Midlands Choice | Commercial|Standard | $2,458 |
| Millard Public Schools | Commercial|Broad Network | $2,458 |
| Millard Public Schools | Commercial|Narrow Network | $2,458 |
| One World | Commercial|Broad Network | $2,458 |
| One World | Commercial|Narrow Network | $2,458 |
| QuikTrip | Commercial|All Plans | $2,458 |
| Timpte | Commercial|Broad Network | $2,458 |
| United | Commercial|All Plans | $2,458 |
| MultiPlan | Commercial|All Plans | $2,509 |
Inpatient
$1,254cash price (self-pay)
$2,560list price
$1,459–$2,509range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Wellmark | Commercial|HMO | $1,459 |
| Wellmark | Commercial|PPO | $1,459 |
| BCBS - NE | Commercial|BluePrint | $2,310 |
| Medica | Commercial|All Other Plans | $2,330 |
| Medica | Commercial|CHI Health | $2,330 |
| BCBS - NE | Commercial|All Other Plans | $2,432 |
| Greater Omaha Packing | Commercial|Broad Network | $2,458 |
| Greater Omaha Packing | Commercial|Narrow Network | $2,458 |
| Medica | Commercial|ACO | $2,458 |
| Medica | Commercial|Open Access | $2,458 |
| Midlands Choice | Commercial|Premier | $2,458 |
| Midlands Choice | Commercial|Standard | $2,458 |
| Millard Public Schools | Commercial|Broad Network | $2,458 |
| Millard Public Schools | Commercial|Narrow Network | $2,458 |
| One World | Commercial|Broad Network | $2,458 |
| One World | Commercial|Narrow Network | $2,458 |
| QuikTrip | Commercial|All Plans | $2,458 |
| Timpte | Commercial|Broad Network | $2,458 |
| United | Commercial|All Plans | $2,458 |
| MultiPlan | Commercial|All Plans | $2,509 |
| PHCS | Commercial|All Plans | $2,509 |
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