CT head without contrast at Mercy Hospital Carthage. CPT 70450.
What Mercy Hospital Carthage publishes for this service, straight from its standard-charges file, last updated June 9, 2026.
Outpatient / ER
$859cash price (self-pay)
$1,321list price
$57.46–$1,321range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna Medicaid Contracted [320009] | Hb Cthg Ok Medicaid | $57.46 |
| Medicaid [20240] | Hb Cthg Ok Medicaid | $57.46 |
| Oklahoma Complete Health Medicaid Contracted [320485] | Hb Cthg Ok Med | $57.46 |
| Humana Medicaid Contracted [320486] | Hb Cthg Ok Medicaid | $57.46 |
| Kancare [20213] | Hb Cthg Kancare UHC Medicaid | $59.96 |
| Kancare [20213] | Hb Cthg Aetna Better Health (Kancare) | $59.96 |
| BCBS Medicaid Contracted [320046] | Hb Cthg Kancare Healthy Blue Medic | $59.96 |
| Kancare Contracted [320213] | Hb Cthg Kancare UHC Medicaid | $59.96 |
| Kancare Contracted [320213] | Hb Cthg Aetna Better Health (Kancare) | $59.96 |
| BCBS Medicaid [20046] | Hb Cthg Mo Care/Healthy Blue | $99.73 |
| BCBS Medicaid Contracted [320046] | Hb Cthg Mo Care/Healthy Blue | $99.73 |
| Medicaid [20240] | Hb Cthg Mo Medicaid | $127 |
| Mo Medicaid Bh Carve Out [320315] | Hb Cthg Mo Medicaid | $127 |
| Home State Medicaid Contracted [320189] | Hb Cthg Home State | $138 |
| United Healthcare Medicaid Contracted [320397] | Hb Cthg UHC Mo Medica | $140 |
| Blue Cross And Blue Shield [20053] | Hb Cthg Anthem Traditional | $254 |
| Blue Cross And Blue Shield [20053] | Hb Cthg Anthem Pathways Exchange | $255 |
| Blue Cross And Blue Shield [20053] | Hb Cthg Anthem Blue Preferred | $270 |
| Mc Anthem [20455] | Hb Cthg Anthem Alliance | $285 |
| Blue Cross And Blue Shield [20053] | Hb Cthg Anthem Alliance | $285 |
| Mc Generic Anthem [20456] | Hb Cthg Anthem Blue Access/Access Choice | $355 |
| Mc Anthem [20455] | Hb Cthg Anthem Blue Access/Access Choice | $355 |
| Blue Cross And Blue Shield [20053] | Hb Cthg Anthem Blue Access/Access | $355 |
| Acentra Health Contracted [320527] | Hb Cthg Managed Medicare | $363 |
| Healthspring Medicare Advantage Contracted [320526] | Hb Cthg Managed | $363 |
| Pace Of The Ozarks Contracted [320518] | Hb Cthg Managed Medicare | $363 |
| Provider Partners Health Plans Contracted [320450] | Hb Cthg Managed M | $363 |
| Ambetter Contracted [320452] | Hb Cthg Ambetter Exchange Mo | $725 |
| Centivo Contracted [320505] | Hb Cthg Centivo 165% Medicare | $855 |
| Preferred Health Plan Contracted [320522] | Hb Cthg Network Affliation | $859 |
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