CT head without contrast at Mercy Hospital Boonville. CPT 70450.
What Mercy Hospital Boonville publishes for this service, straight from its standard-charges file, last updated June 8, 2026.
Outpatient / ER
$1,004cash price (self-pay)
$1,544list price
$57.46–$1,390range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Prominence Health Plan Medicare Advantage Contracted [320496] | Hb Bnv | $454 |
| Globalhealth Contracted [320145] | Hb Bnvar Managed Medicare | $454 |
| Dept Of Veteran Affairs Contracted [320106] | Hb Bnvar Managed Medicar | $454 |
| Essence Healthcare Medicare Contracted [320122] | Hb Bnvar Managed Med | $454 |
| Cherokee Nation Health Serv Contracted [320066] | Hb Bnvar Managed Med | $454 |
| BCBS Medicare Advantage Contracted [320047] | Hb Bnvar Managed Medicar | $454 |
| Jordan Valley Senior Care Pace [20515] | Hb Bnvar Managed Medicare | $454 |
| Pace Of The Ozarks [20518] | Hb Bnvar Managed Medicare | $454 |
| Aetna Medicare Advantage Contracted [320010] | Hb Bnvar Managed Medica | $454 |
| Wellfirst Health Mcr [20443] | Hb Bnvar Managed Medicare | $454 |
| Medical Associates Health [20444] | Hb Bnvar Managed Medicare | $454 |
| Valir Pace [20503] | Hb Bnvar Managed Medicare | $454 |
| Spina Bifida Hlthcare Benefit [20506] | Hb Bnvar Managed Medicare | $454 |
| Elara Caring Aspire Hospice [20433] | Hb Bnvar Managed Medicare | $454 |
| Kindful Hospice [20434] | Hb Bnvar Managed Medicare | $454 |
| Halo Hcr Inc Hospice [20432] | Hb Bnvar Managed Medicare | $454 |
| Windsor Medicare [20424] | Hb Bnvar Managed Medicare | $454 |
| University Pittsburgh Med Ctr Medicare [20407] | Hb Bnvar Managed Medi | $454 |
| Tricare [20380] | Hb Bnvar Tricare | $456 |
| Devoted Health Medicare Contracted [320500] | Hb Bnvar Devoted Health | $473 |
| Healthspring Medicare Advantage Contracted [320526] | Hb Bnvar Healths | $477 |
| Cigna Medicare Advantage Contracted [320072] | Hb Bnvar Healthspring 1 | $477 |
| Centivo Contracted [320505] | Hb Bnvar Centivo Mcr | $750 |
| MERCY INTERFACILITY [20513] | HB BNVAR Inter-Facility CCR New 6.1.25 | $753 |
| Aetna Contracted [320008] | Hb Wldar,Ozkar,Prsar,Bnvr Conventry/Aetna | $1,004 |
| Workers Comp [20426] | Hb Wldar,Ozkar,Prsar,Bnvar Work Comp Aetna/Cove | $1,004 |
| Mercy Benefit Admin Contracted [320251] | Hb Wldar,Ozkar,Prsar,Bnvar,B | $1,312 |
| Mercy Benefit Admin Contracted [320251] | Hb Wldar,Ozkar,Prsar,Bnvar D | $1,312 |
| Preferred Health Plan Contracted [320522] | Hb Bnvar Network Affiliati | $1,312 |
| Edison Health Solutions Contracted [320502] | Hb Wldar,Ozkar,Prsar,Bnv | $1,312 |
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