CT head without contrast at Mercy Hospital Jefferson. CPT 70450.
What Mercy Hospital Jefferson publishes for this service, straight from its standard-charges file, last updated June 10, 2026.
Outpatient / ER
$1,505cash price (self-pay)
$2,316list price
$90.66–$2,316range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Mo Medicaid Bh Carve Out [320315] | Hb Jefn Mo Medicaid | $90.66 |
| Medicaid [20240] | Hb Jefn Mo Medicaid | $90.66 |
| Blue Cross And Blue Shield [20053] | Hb Jefn Anthem Pathway/Exchange E | $107 |
| Medicaid Pending [20241] | Hb Jefn & Wash Home State Health Plan Manag | $113 |
| Blue Cross And Blue Shield [20053] | Hb Jefn Anthem Blue Preferred Eff | $117 |
| United Healthcare Medicaid Contracted [320397] | Hb Jefn UHC Managed M | $118 |
| United Healthcare Contracted [320396] | Hb Jefn UHC Core New 100121 | $119 |
| Blue Cross And Blue Shield [20053] | Hb Jefn Anthem Blue Access Choice | $132 |
| United Medical Resources Contracted [320454] | Hb Jefn UHC HMO PPO All | $136 |
| United Healthcare Contracted [320396] | Hb Jefn UHC Compass/Exchange | $136 |
| United Healthcare Contracted [320396] | Hb Jefn UHC HMO PPO All Payer | $136 |
| Optum Health Behavioral Solutions [520250] | Hb Jefn UHC HMO PPO All P | $136 |
| Medicaid Pending [20241] | Hb Jefn Missouri Care Health Plan/Healthy B | $150 |
| Auxiant Contracted [320462] | Hb Wash Jefn Fcb Banks Dec | $176 |
| Auxiant Contracted [320462] | Hb Wash Jefn Buchheit Dec New 070122 | $176 |
| Auxiant Contracted [320462] | Hb Wash Jefn City Of Jackson Dec New 010 | $176 |
| Auxiant Contracted [320462] | Hb Wash Jefn Dec Hydromat | $176 |
| Aither Health Contracted [320449] | Hb Wash Jefn Laclede Chain Dec New | $176 |
| Aither Health Contracted [320449] | Hb Wash Jefn Shine Solar Dec New 1 | $176 |
| Aither Health Contracted [320449] | Hb Wash Jefn Schaefer Autobody Dec | $176 |
| Aither Health Contracted [320449] | Hb Wash Jefn Woodard Dec New 04012 | $176 |
| Yuzu Health Contracted [320521] | Hb Wash Jefn Schaefer Autobody Dec N | $176 |
| Yuzu Health Contracted [320521] | Hb Wash Jefn Level Health Dec | $176 |
| Show-Me Health Administrators Contracted [320483] | Hb Wash Jefn Dec S | $176 |
| Show-Me Health Administrators Contracted [320483] | Hb Wash Jefn Asi D | $176 |
| Reflect Health Contracted [320492] | Hb Wash Jefn Ww Wood Dec | $176 |
| Ebms Contracted [320493] | Hb Wash Jefn Crader Distributing Dec New 09 | $176 |
| Imagine 360 Contracted [320494] | Hb Wash Jefn Dec Robinson Constructi | $176 |
| Edison Health Solutions Contracted [320502] | Hb Wash Jefn Woodard Dec | $176 |
| Edison Health Solutions Contracted [320502] | Hb Wash Jefn Shine Solar | $176 |
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