CT head without contrast at Mercy Specialty Hospital - Southeast Kansas. CPT 70450.
What Mercy Specialty Hospital - Southeast Kansas publishes for this service, straight from its standard-charges file, last updated June 9, 2026.
Outpatient / ER
$1,660cash price (self-pay)
$2,554list price
$57.46–$2,426range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Oklahoma Complete Health Medicaid Contracted [320485] | Hb Seks Ok Med | $57.46 |
| Humana Medicaid Contracted [320486] | Hb Seks Ok Medicaid | $57.46 |
| Medicaid [20240] | Hb Seks Ok Medicaid | $57.46 |
| Aetna Medicaid Contracted [320009] | Hb Seks Ok Medicaid | $57.46 |
| BCBS Medicaid Contracted [320046] | Hb Seks Medicaid Kancare | $59.96 |
| Kancare Contracted [320213] | Hb Seks Medicaid Kancare | $59.96 |
| Kancare Contracted [320213] | Hb Seks UHC Ks Medicaid | $59.96 |
| Provider Partners Health Plans Contracted [320450] | Hb Seks Provider | $62.91 |
| Aetna Contracted [320008] | Hb Seks Aetna Commercial/Firsthealth | $83.60 |
| First Health Contracted [320128] | Hb Seks Aetna Commercial/Firsthealt | $83.60 |
| United Healthcare Medicaid Contracted [320397] | Hb Seks UHC Mo Medica | $90.66 |
| Medicaid [20240] | Hb Seks Mo Medicaid | $90.66 |
| Home State Medicaid Contracted [320189] | Hb Seks Home State Mo Medica | $90.66 |
| BCBS Medicaid Contracted [320046] | Hb Seks Healthy Blue Mo Medicaid | $90.66 |
| Longevity Health Plan Medicare Contracted [320225] | Hb Seks Mgd Medic | $107 |
| Qual Choice Contracted [320325] | Hb Seks Mgd Medicare | $107 |
| Tricare Contracted [320380] | Hb Seks Tricare | $107 |
| Sunflower Health Plan Contracted [320369] | Hb Seks Mgd Medicare | $107 |
| Mercy Mgd Behavioral Health Contracted [320259] | Hb Seks Mgd Medicare | $107 |
| HUMANA MEDICARE ADVANTAGE CONTRACTED [320194] | HB SEKS HUMANA MCR New | $110 |
| Optum Health Behavioral Solutions [520250] | Hb Seks UHC | $114 |
| United Medical Resources Contracted [320454] | Hb Seks UHC | $114 |
| United Healthcare Contracted [320396] | Hb Seks UHC | $114 |
| United Healthcare Contracted [320396] | Hb Seks UHC Exchange | $114 |
| Medicaid [20240] | Hb Seks Ark Medicaid | $165 |
| Insurance System Inc Contracted [320465] | Hb Seks Dec Health Systems | $284 |
| United Medical Resources Contracted [320454] | Hb Seks Dec Liberty Uti | $284 |
| Healthscope Contracted [320182] | Hb Seks Dec Liberty Utilities New 08 | $284 |
| Health Systems Inc Contracted [320174] | Hb Seks Dec Health Systems Ne | $284 |
| Benefit Management Contracted [320052] | Hb Seks Dec Ozarks Community | $284 |
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All common services at Mercy Specialty Hospital - Southeast Kansas