CT head without contrast at Mercy Hospital South. CPT 70450.
What Mercy Hospital South publishes for this service, straight from its standard-charges file, last updated June 10, 2026.
Outpatient / ER
$800cash price (self-pay)
$1,230list price
$79.95–$1,230range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Mo Medicaid Bh Carve Out [320315] | Hb Samc Mo Medicaid | $90.66 |
| United Healthcare Medicaid Contracted [320397] | Hb Samc UHC Managed M | $118 |
| United Healthcare Contracted [320396] | Hb Samc UHC Core New 100121 | $119 |
| Blue Cross And Blue Shield [20053] | Hb Samc Anthem Access Choice | $132 |
| United Medical Resources Contracted [320454] | Hb Samc UHC HMO PPO All | $136 |
| United Healthcare Contracted [320396] | Hb Samc UHC Compass/Exchange | $136 |
| United Healthcare Contracted [320396] | Hb Samc UHC HMO PPO All Payer | $136 |
| Blue Cross And Blue Shield [20053] | Hb Samc Anthem Blue Access | $143 |
| Show-Me Health Administrators Contracted [320483] | Hb Stlo Samc Dec S | $176 |
| Show-Me Health Administrators Contracted [320483] | Hb Stlo Samc Asi D | $176 |
| Imagine 360 Contracted [320494] | Hb Stlo Samc Dec Robinson Contructio | $176 |
| Ebms Contracted [320493] | Hb Stlo Samc Crader Distributing Dec New 09 | $176 |
| Reflect Health Contracted [320492] | Hb Stlo Samc Ww Wood Dec | $176 |
| Yuzu Health Contracted [320521] | Hb Stlo Samc Schaefer Autobody Dec N | $176 |
| Yuzu Health Contracted [320521] | Hb Stlo Samc Level Health Dec | $176 |
| Edison Health Solutions Contracted [320502] | Hb Stlo Samc Shine Solar | $176 |
| Edison Health Solutions Contracted [320502] | Hb Stlo Samc Woodard Dec | $176 |
| Mercy Benefit Admin Contracted [320251] | Hb Stlo Samc Dec Quick Trip | $176 |
| Mercy Benefit Admin Contracted [320251] | Hb Stlo Samc Clayco Dec | $176 |
| Mercy Benefit Admin Contracted [320251] | Hb Stlo Samc Schaefer Autobo | $176 |
| Mercy Benefit Admin Contracted [320251] | Hb Stlo Samc Dec Show Me Ben | $176 |
| Mercy Benefit Admin Contracted [320251] | Hb Stlo Samc Dec Eba - Emplo | $176 |
| Mercy Benefit Admin Contracted [320251] | Hb Stlo Samc Dec Town And Co | $176 |
| Mercy Benefit Admin Contracted [320251] | Hb Stlo Samc Easter Seals De | $176 |
| Mercy Benefit Admin Contracted [320251] | Hb Stlo Samc City Of Jackson | $176 |
| Mercy Benefit Admin Contracted [320251] | Hb Stlo Samc Bartel Communic | $176 |
| Mercy Benefit Admin Contracted [320251] | Hb Stlo Samc Dec Sapaugh Mot | $176 |
| Mercy Benefit Admin Contracted [320251] | Hb Stlo Samc Tall Tree Dec N | $176 |
| Aither Health Contracted [320449] | Hb Stlo Samc Shine Solar Dec New 1 | $176 |
| Aither Health Contracted [320449] | Hb Stlo Samc Schaefer Autobody Dec | $176 |
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