CT head without contrast at Mercy Hospital. CPT 70450.
What Mercy Hospital publishes for this service, straight from its standard-charges file, last updated March 31, 2026.
Outpatient / ER
$88.00cash price (self-pay)
$88.00list price
$25.56–$1,426range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Molina Medicare Advantage | Medicare | $73.85 |
| Rx Allwin | Medicare | $73.85 |
| Carelon Health Medicaid | Carelon Medicaid | $90.12 |
| Aetna Medicare Advantage | Aetna Medicare Advantage | $116 |
| Tufts Medicare Advantage | Tufts Medicare Advantage | $116 |
| Health New England Medicare Advantage | Health New England Medicare Ad | $117 |
| Connecticare Vip Medicare Advantage | Connecticare Medicare Advantage | $117 |
| Wellcare Medicare | Wellcare Medicare Advantage | $119 |
| Carepartners Of Connecticut Medicare Advantage | Carepartners Medicare | $119 |
| Fallon Health Medicare Advantage | Fallon Navicare Medicare Advantage | $126 |
| Blue Cross - MA | BCBS HMO | $129 |
| Blue Shield - NY Highmark Western | BCBS PPO | $129 |
| Blue Shield - NY Highmark Northeastern | BCBS PPO | $129 |
| Blue Cross - Nc | BCBS PPO | $129 |
| Blue Cross - Id | BCBS PPO | $129 |
| Blue Shield - Id (Regence) | BCBS PPO | $129 |
| Blue Cross - Ky (Anthem) | BCBS PPO | $129 |
| Blue Cross - La | BCBS PPO | $129 |
| Bcn Domestic | BCBS PPO | $129 |
| Blue Distinction Transplant | BCBS PPO | $129 |
| Blue Cross - Ms | BCBS PPO | $129 |
| Blue Cross - Me (Anthem) | BCBS PPO | $129 |
| Blue Cross - Md (Carefirst) | BCBS PPO | $129 |
| Blue Cross - De (Highmark) | BCBS PPO | $129 |
| Blue Cross - Dc (Carefirst) | BCBS PPO | $129 |
| Blue Cross - FL | BCBS PPO | $129 |
| Blue Cross - Ga (Anthem) | BCBS PPO | $129 |
| Blue Cross - Nv (Anthem) | BCBS PPO | $129 |
| Meritain | Aetna | $135 |
| Aetna | Aetna | $135 |
Inpatient
$99.00cash price (self-pay)
$99.00list price
$25.56–$279range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Medicaid Pending | Medicaid | $57.88 |
| Nascentia Health Options | Medicaid | $57.88 |
| Breast Grant-Connecticut | Medicaid | $57.88 |
| Blue Cross - IL Medicaid Advantage | Medicaid | $57.88 |
| Rx Medi-Cal | Medicaid | $57.88 |
| St Joseph County Hlth Dpt | Medicaid | $57.88 |
| County Coroner | Medicaid | $57.88 |
| Positive Healthcare Partners Medicaid | Medicaid | $57.88 |
| Tricare West Healthnet | Tricare | $71.78 |
| Tricare East Humana | Tricare | $71.78 |
| Tricare | Tricare | $71.78 |
| Rx Allwin | Medicare | $73.85 |
| Molina Medicare Advantage | Medicare | $73.85 |
| Provider Partners Health Plan Of Indiana | Medicare | $73.85 |
| Aetna Medicare Transplant | Medicare | $73.85 |
| Gold Kidney Medicare | Medicare | $73.85 |
| Vnsny Choice Medicare | Medicare | $73.85 |
| Blue Cross - Mi Medicare Advantage | Medicare | $73.85 |
| Allwell Medicare Advantage | Medicare | $73.85 |
| Pacificsource Health Plans Medicare Advantage | Medicare | $73.85 |
| BCBS Medicare Advantage Generic | Medicare | $73.85 |
| Cca - Zing Health | Medicare | $73.85 |
| Ally Align Care Adv | Medicare | $73.85 |
| Wc Federated | Workers Comp | $88.29 |
| Wc Erie | Workers Comp | $88.29 |
| Wc Bunch & Associates | Workers Comp | $88.29 |
| Wc Employee Mutual | Workers Comp | $88.29 |
| Wc Notre Dame | Workers Comp | $88.29 |
| Blue Cross - In (Anthem) | BCBS HMO | $152 |
| Blue Cross - Mi | BCBS HMO | $152 |
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