CT head without contrast at CHI Health St. Elizabeth. CPT 70450.

What CHI Health St. Elizabeth publishes for this service, straight from its standard-charges file, last updated February 28, 2026.

Outpatient / ER

$934cash price (self-pay)

$1,868list price

$86.61–$2,143range insurers pay

Insurance plan	Negotiated rate
Amerigroup \| Medicaid\|All Plans	$86.61
Centene \| Medicaid\|IA Total Care	$86.61
IAMolina \| Medicaid\|All Plans	$88.31
BCBS - NE \| Medicare\|All Plans	$103
Great Plains \| Medicare\|All Plans	$103
Humana \| Medicare\|All Plans	$103
Medica \| Medicare\|All Plans	$103
United \| Medicare\|All Plans	$103
Centene \| Medicare\|All Plans	$106
Amerigroup \| Medicare\|All Plans	$108
Medica \| Commercial\|ACO	$130
Medica \| Commercial\|CHI Health	$212
Medica \| Commercial\|All Other Plans	$222
AMPS \| Commercial\|All Plans	$228
Greater Omaha Packing \| Commercial\|Narrow Network	$395
Millard Public Schools \| Commercial\|Narrow Network	$395
One World \| Commercial\|Narrow Network	$395
United \| Medicaid\|Community Plan	$430
Centene \| Medicaid\|NE Total Care	$434
Greater Omaha Packing \| Commercial\|Broad Network	$454
Millard Public Schools \| Commercial\|Broad Network	$454
One World \| Commercial\|Broad Network	$454
Timpte \| Commercial\|Broad Network	$454
ELAP \| Commercial\|All Plans	$1,065
Medica \| Commercial\|Open Access	$1,158
Midlands Choice \| Commercial\|Premier	$1,158
Midlands Choice \| Commercial\|Standard	$1,289
MultiPlan PHCS \| Commercial\|All Plans	$1,588
Creighton University Employees \| Commercial\|All Plans	$1,804
United \| Commercial\|All Plans	$2,143

$934cash price (self-pay)

$1,868list price

$1,158–$1,494range insurers pay

Insurance plan	Negotiated rate
Medica \| Commercial\|Open Access	$1,158
Midlands Choice \| Commercial\|Premier	$1,158
MultiPlan PHCS \| Commercial\|All Plans	$1,494

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