CT head without contrast at CHI Health St. Francis. CPT 70450.
What CHI Health St. Francis publishes for this service, straight from its standard-charges file, last updated February 28, 2026.
Outpatient / ER
$1,564cash price (self-pay)
$2,651list price
$86.61–$2,492range 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 | $102 |
| Humana | Medicare|All Plans | $102 |
| Medica | Medicare|All Plans | $102 |
| United | Medicare|All Plans | $102 |
| Centene | Medicare|All Plans | $105 |
| Amerigroup | Medicare|All Plans | $107 |
| Great Plains | Medicare|All Plans | $107 |
| Medica | Commercial|ACO | $130 |
| Medica | Commercial|CHI Health | $212 |
| Medica | Commercial|All Other Plans | $222 |
| AMPS | Commercial|All Plans | $226 |
| Greater Omaha Packing | Commercial|Narrow Network | $510 |
| Millard Public Schools | Commercial|Narrow Network | $510 |
| One World | Commercial|Narrow Network | $510 |
| Greater Omaha Packing | Commercial|Broad Network | $587 |
| Millard Public Schools | Commercial|Broad Network | $587 |
| One World | Commercial|Broad Network | $587 |
| Timpte | Commercial|Broad Network | $587 |
| United | Medicaid|Community Plan | $610 |
| Centene | Medicaid|NE Total Care | $616 |
| Creighton University Employees | Commercial|All Plans | $1,458 |
| United | Commercial|All Plans | $1,670 |
| ELAP | Commercial|All Plans | $1,697 |
| Medica | Commercial|Open Access | $2,200 |
| Midlands Choice | Commercial|Premier | $2,200 |
| Midlands Choice | Commercial|Standard | $2,492 |
| MultiPlan PHCS | Commercial|All Plans | $2,492 |
Inpatient
$1,564cash price (self-pay)
$2,651list price
$1,458–$2,492range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Creighton University Employees | Commercial|All Plans | $1,458 |
| United | Commercial|All Plans | $2,121 |
| Medica | Commercial|Open Access | $2,200 |
| Midlands Choice | Commercial|Premier | $2,200 |
| Midlands Choice | Commercial|Standard | $2,492 |
| MultiPlan PHCS | Commercial|All Plans | $2,492 |
Billed more than this?
Scan my billSnap a photo of your bill. We compare every line with these prices and coding rules, free.