CT head without contrast at CHI Health St. Mary's. CPT 70450.
What CHI Health St. Mary's publishes for this service, straight from its standard-charges file, last updated February 28, 2026.
Outpatient / ER
$1,908cash price (self-pay)
$2,299list price
$492–$2,207range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Amerigroup | Medicaid|All Plans | $492 |
| IAMolina | Medicaid|All Plans | $502 |
| BCBS - NE | Medicare|All Plans | $920 |
| Humana | Medicare|All Plans | $920 |
| Medica | Medicare|All Plans | $920 |
| PACE | Medicare|All Plans | $920 |
| United | Medicare|All Plans | $920 |
| Centene | Medicare|All Plans | $938 |
| Centene | Medicaid|NE Total Care | $943 |
| United | Medicaid|Community Plan | $943 |
| Amerigroup | Medicare|All Plans | $966 |
| Great Plains | Medicare|All Plans | $966 |
| BCBS - NE | Commercial|BluePrint | $1,335 |
| BCBS - NE | Commercial|All Other Plans | $1,405 |
| AMPS | Commercial|All Plans | $2,042 |
| Medica | Commercial|All Other Plans | $2,092 |
| Medica | Commercial|CHI Health | $2,092 |
| MultiPlan PHCS | Commercial|All Plans | $2,184 |
| Greater Omaha Packing | Commercial|Broad Network | $2,207 |
| Greater Omaha Packing | Commercial|Narrow Network | $2,207 |
| Medica | Commercial|ACO | $2,207 |
| Medica | Commercial|Open Access | $2,207 |
| Midlands Choice | Commercial|Premier | $2,207 |
| Midlands Choice | Commercial|Standard | $2,207 |
| Millard Public Schools | Commercial|Broad Network | $2,207 |
| Millard Public Schools | Commercial|Narrow Network | $2,207 |
| One World | Commercial|Broad Network | $2,207 |
| One World | Commercial|Narrow Network | $2,207 |
| Timpte | Commercial|Broad Network | $2,207 |
| United | Commercial|All Plans | $2,207 |
Inpatient
$1,908cash price (self-pay)
$2,299list price
$2,075–$2,207range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| BCBS - NE | Commercial|BluePrint | $2,075 |
| Medica | Commercial|All Other Plans | $2,092 |
| Medica | Commercial|CHI Health | $2,092 |
| BCBS - NE | Commercial|All Other Plans | $2,184 |
| MultiPlan PHCS | Commercial|All Plans | $2,184 |
| Greater Omaha Packing | Commercial|Broad Network | $2,207 |
| Greater Omaha Packing | Commercial|Narrow Network | $2,207 |
| Medica | Commercial|ACO | $2,207 |
| Medica | Commercial|Open Access | $2,207 |
| Midlands Choice | Commercial|Premier | $2,207 |
| Midlands Choice | Commercial|Standard | $2,207 |
| Millard Public Schools | Commercial|Broad Network | $2,207 |
| Millard Public Schools | Commercial|Narrow Network | $2,207 |
| One World | Commercial|Broad Network | $2,207 |
| One World | Commercial|Narrow Network | $2,207 |
| Timpte | Commercial|Broad Network | $2,207 |
| United | Commercial|All Plans | $2,207 |
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