CT head without contrast at Mercy Hospital Lebanon. CPT 70450.
What Mercy Hospital Lebanon publishes for this service, straight from its standard-charges file, last updated June 10, 2026.
Outpatient / ER
$1,075cash price (self-pay)
$1,654list price
$45.77–$1,571range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Administrative Payor Contracted [320005] | Hb Lebn Amish ( Mt Vernon M | $744 |
| Medica [20239] | Hb Sprg Lebn Medica Exchange | $836 |
| Medica Contracted [320239] | Hb Sprg Lebn Medica Exchange | $836 |
| Healthlink Contracted [320179] | Hb Lebn Network Affliation | $1,075 |
| Cigna Healthcare Contracted [320071] | Hb Lebn Cigna | $1,224 |
| Cigna Healthcare [20071] | Hb Lebn Cigna | $1,224 |
| Mercy Benefit Admin Contracted [320251] | Hb Lebn Dec (Show-Me Consort | $1,241 |
| Mercy Benefit Admin Contracted [320251] | Hb Lebn Dec Town & Country S | $1,241 |
| Mercy Benefit Admin Contracted [320251] | Hb Lebn Dec Sapaugh Motors N | $1,323 |
| Mercy Benefit Admin Contracted [320251] | Hb Lebn Dec Bartel Communica | $1,323 |
| Mercy Benefit Admin Contracted [320251] | Hb Lebn Dec Tall Tree New 4. | $1,323 |
| Mercy Benefit Admin Contracted [320251] | Hb Lebn Dec Clayco | $1,323 |
| Mercy Benefit Admin Contracted [320251] | Hb Lebn Dec Qt | $1,323 |
| Mercy Benefit Admin Contracted [320251] | Hb Lebn Dec Quality Collisio | $1,323 |
| Mercy Benefit Admin Contracted [320251] | Hb Lebn Dec Easter Seals | $1,323 |
| Mercy Benefit Admin Contracted [320251] | Hb Lebn Dec City Of Jackson | $1,323 |
| Point C Contracted [320238] | Hb Lebn Joplin Supply Co | $1,323 |
| Point C Contracted [320238] | Hb Lebn Dec Heart Of America Beverage Co | $1,323 |
| Point C Contracted [320238] | Hb Lebn Trailner | $1,323 |
| Point C Contracted [320238] | Hb Lebn City Of Springfield | $1,323 |
| Point C Contracted [320238] | Hb Lebn Dec Springfield Mfg (Src) | $1,323 |
| Point C Contracted [320238] | Hb Lebn Mo State University | $1,323 |
| Point C Contracted [320238] | Hb Lebn S & H Farms | $1,323 |
| Point C Contracted [320238] | Hb Lebn Scurlock Industries | $1,323 |
| Healthlink Contracted [320179] | Hb Lebn Dec Sapaugh Motors New 1.1.25 | $1,323 |
| Healthlink Contracted [320179] | Hb Lebn Healthlink HMO | $1,323 |
| Health Systems Inc Contracted [320174] | Hb Lebn Health Systems | $1,323 |
| Benefit Management Contracted [320052] | Hb Lebn Dec Ozark Community H | $1,323 |
| First Health Contracted [320128] | Hb Lebn Coventry Health Care | $1,323 |
| Evolutions Health Care Contracted [320124] | Hb Lebn Evolutions | $1,323 |
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