CT head without contrast at MercyOne New Hampton Medical Center. CPT 70450.
What MercyOne New Hampton Medical Center publishes for this service, straight from its standard-charges file, last updated March 31, 2026.
Outpatient / ER
$1,368cash price (self-pay)
$2,105list price
$833–$2,105range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Blue Cross - Ia (Wellmark) Medicare Advantage | Wellmark Medicare Adva | $833 |
| Aetna Medicare Advantage | Aetna Medicare Advantage | $842 |
| Health Partners Medicare Advantage | Unitypoint Health Partners Medica | $850 |
| Wellpoint Medicare Advantage | Wellpoint Medicare Advantage | $859 |
| Medicare Medical Associates Health Plans | Medical Associates Medicare | $887 |
| United Healthcare Medicare | United Healthcare Medicare Advantage | $893 |
| Medigold Medicare Advantage | Mercyone Health Plan Medicare Advantage | $940 |
| Medical Associates | Medical Associates | $1,063 |
| Health Choices | Medical Associates | $1,063 |
| United Healthcare | United Healthcare | $1,263 |
| Geha | United Healthcare | $1,263 |
| Ambetter | Ambetter Marketplace | $1,415 |
| Iowa Total Care | Iowa Total Care Medicaid | $1,439 |
| Molina Medicaid | Molina Medicaid | $1,460 |
| Wellpoint Medicaid | Wellpoint Medicaid | $1,467 |
| Nova | Claimdoc | $1,692 |
| Claimdoc | Claimdoc | $1,692 |
| Medical Mutual | Aetna | $1,989 |
| First Health | Aetna | $1,989 |
| Coventry | Aetna | $1,989 |
| Allied Benefit Systems | Aetna | $1,989 |
| Asr Health Benefits | Aetna | $1,989 |
| Aetna | Aetna | $1,989 |
| Luminare Health | Aetna | $1,989 |
| Meritain | Aetna | $1,989 |
| Aetna Domestic | Aetna | $1,989 |
| Lucent Health | Aetna | $1,989 |
| Aetna Eap | Aetna | $1,989 |
| 1199 National Benefit Fund | Aetna | $1,989 |
| Webtpa | Aetna | $1,989 |
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