CT head without contrast at SSM Health Good Samaritan Hospital - Mt. Vernon. CPT 70450.
What SSM Health Good Samaritan Hospital - Mt. Vernon publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$1,888cash price (self-pay)
$3,432list price
$112–$118range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Molina | Dual Eligible Medicare/Medicaid | $112 |
| UnitedHealthCare | Medicare Managed Care Plan | $117 |
| Essence Healthcare | Medicare Managed Care Plan | $118 |
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All common services at SSM Health Good Samaritan Hospital - Mt. Vernon