CT head without contrast at Mercy St Francis Hospital. CPT 70450.
What Mercy St Francis Hospital publishes for this service, straight from its standard-charges file, last updated June 10, 2026.
Outpatient / ER
$1,262cash price (self-pay)
$1,941list price
$59.96–$1,883range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Kancare Contracted [320213] | Hb Mtnv Aetna Better Healthcare (Kancare | $59.96 |
| Kancare [20213] | Hb Mtnv Aetna Better Healthcare (Kancare) | $59.96 |
| BCBS Medicaid Contracted [320046] | Hb Mtnv Mo Care/Healthy Blue | $99.73 |
| Blue Cross And Blue Shield [20053] | Hb Casv Mtnv Ar Bc | $108 |
| Nhc Advantage Medicare Contracted [320282] | Hb Sprg Nhc Advantage Mcr | $108 |
| Medicaid [20240] | Hb Mtnv Mo Medicaid | $127 |
| Mo Medicaid Bh Carve Out [320315] | Hb Mtnv Mo Medicaid | $127 |
| Home State Medicaid Contracted [320189] | Hb Mtnv Home State | $140 |
| United Healthcare Medicaid Contracted [320397] | Hb Mtnv UHC Mo Medica | $140 |
| Blue Cross And Blue Shield [20053] | Hb Mtnv Managed Medicare | $534 |
| Cross Timbers Hospice [20098] | Hb Mtnv Managed Medicare | $534 |
| Mercy Hospice Okc [20252] | Hb Mtnv Managed Medicare | $534 |
| Medicare [20244] | Hb Mtnv Medicare | $534 |
| Elara Caring Aspire Hospice [20433] | Hb Mtnv Managed Medicare | $534 |
| Aetna Medicare Advantage Contracted [320010] | Hb Mtnv Aetna Mcr 100% | $534 |
| Halo Hcr Inc Hospice [20432] | Hb Mtnv Managed Medicare | $534 |
| Kindful Hospice [20434] | Hb Mtnv Managed Medicare | $534 |
| Dept Of Veteran Affairs Contracted [320106] | Hb Mtnv Medicare | $534 |
| Cherokee Nation Health Serv Contracted [320066] | Hb Mtnv Managed Medi | $534 |
| BCBS Medicare Advantage Contracted [320047] | Hb Mtnv Medicare | $534 |
| BCBS Medicare Advantage Contracted [320047] | Hb Mtnv Managed Medicare | $534 |
| Healthscope Contracted [320182] | Hb Mtnv Dec Orscheln 125% Mcr | $666 |
| Administrative Payor Contracted [320005] | Hb Aura Bryv Casv Mtnv Amis | $873 |
| Administrative Payor Contracted [320005] | Hb Aura Bryv Casv Mtnv Menn | $873 |
| Home State Health Plan Contracted [320187] | Hb Mtnv Ambetter Exchange | $1,007 |
| Workers Comp [20426] | Hb Sprg Jopl Mercy Employee Work Comp Mo | $1,553 |
| Workers Comp [20426] | Hb Sprg Lebn Aura Casv Mtnv Oha Workers Comp Ne | $1,553 |
| Workers Comp [20426] | Hb Sprg Generic Work Comp | $1,650 |
| Blue Cross And Blue Shield [20053] | Hb Mtnv Anthem Pathway Exchange | $1,708 |
| Aetna Contracted [320008] | Hb Mtnv Aetna | $1,727 |
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