CT head without contrast at Essentia Health St. Mary's-Detroit Lakes. CPT 70450.
What Essentia Health St. Mary's-Detroit Lakes publishes for this service, straight from its standard-charges file, last updated January 1, 2026.
Outpatient / ER
$1,163cash price (self-pay)
$1,811list price
$73.57–$1,557range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Primewest | Medicaid | $106 |
| Itasca Med Care | Medicaid | $106 |
| Advocare/Security Health | Medicare | $112 |
| BLUE CROSS MEDICARE ADVANTAGE CORE | Medicare | $112 |
| Freedom Blue PPO | Medicare | $112 |
| HEALTHPARTNERS CARE MSHO / MCR ADV | Medicare | $112 |
| IMCARE MSHO PCC PRIME | Medicare | $112 |
| IMCARE MSHO REF REQ | Medicare | $112 |
| MEDICA ADVANTAGE SOLUTIONS | Medicare | $112 |
| MEDICA MSHO/Dual Solutions | Medicare | $112 |
| MEDICA PRIME SOLUTION GROUP | Medicare | $112 |
| MEDICARE ADV PFFS | Medicare | $112 |
| ND VA ADMINISTRATION | Medicare | $112 |
| OUT OF STATE BCBS MEDICARE ADVANTAGE | Medicare | $112 |
| PRIMEWEST MSHO | Medicare | $112 |
| Platinum Blue/Vantage Blue | Medicare | $112 |
| SECURE BLUE MSHO | Medicare | $112 |
| SECURITY HEALTH MEDICARE | Medicare | $112 |
| UBH COST PLAN | Medicare | $112 |
| UBH MSHO/MEDICARE REPLACEMENT | Medicare | $112 |
| UBH MSHO | Medicare | $112 |
| BCBS MN | Medicaid | $444 |
| BCBS PLUS PMAP PCC PRIME | Medicaid | $444 |
| Sanford HealthPlan | Commercial-NDPERS | $483 |
| Sanford HealthPlan | Commercial | $503 |
| MN BCBS Commercial | BCBS MN | $649 |
| HealthPartners CARE PMAP | Medicaid | $704 |
| BCBS WI | Commercial | $795 |
| Medica Uplan | Commercial | $1,152 |
| HealthPartners | SHP | $1,217 |
Inpatient
$1,163cash price (self-pay)
$1,811list price
$777–$1,557range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Sanford HealthPlan | Commercial-NDPERS | $777 |
| Sanford HealthPlan | Commercial | $818 |
| Ucare | Commercial | $1,192 |
| BCBS MN | Medicaid | $1,211 |
| BCBS PLUS PMAP PCC PRIME | Medicaid | $1,211 |
| WEA | Commercial-Narrow Network | $1,304 |
| MN BCBS Commercial | BCBS MN | $1,345 |
| BCBS WI | Commercial | $1,376 |
| WEA | Commercial | $1,394 |
| America's PPO | Commercial | $1,404 |
| WPS | Commercial | $1,503 |
| Aetna First Health | Commercial | $1,539 |
| HealthEOS | Commercial | $1,557 |
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All common services at Essentia Health St. Mary's-Detroit Lakes