CT head without contrast at Mercy Hospital Ardmore. CPT 70450.
What Mercy Hospital Ardmore publishes for this service, straight from its standard-charges file, last updated June 12, 2026.
Outpatient / ER
$1,589cash price (self-pay)
$2,444list price
$57.46–$2,444range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Oklahoma Complete Health Medicaid Contracted [320485] | Hb Ardm Ok Med | $57.46 |
| Humana Medicaid Contracted [320486] | Hb Ardm Ok Medicaid (Soonercare) | $57.46 |
| Aetna Medicaid Contracted [320009] | Hb Ardm Ok Medicaid (Soonercare) | $57.46 |
| Medicaid [20240] | Hb Ardm Ok Medicaid (Soonercare) | $57.46 |
| Mc Generic Anthem [20456] | Hb Ardm Blue Choice | $107 |
| Blue Cross And Blue Shield [20053] | Hb Ardm Blue Choice | $107 |
| Blue Cross And Blue Shield [20053] | Hb Ardm Blue Cross Advantage PPO | $107 |
| Blue Cross And Blue Shield [20053] | Hb Ardm Blue Cross Preferred | $107 |
| Mc Anthem [20455] | Hb Ardm Blue Choice | $107 |
| Administrative Payor Contracted [320005] | Hb Ardm Mdsave | $137 |
| Workers Comp [20426] | Hb Ada, Ardm, Hmh, Kgfer, Lgnok, Lhcp, Oklc, Ti | $183 |
| Health Choice Contracted [320166] | Hb Ada, Ardm, Hmh, Kgfer, Lgnok, L | $294 |
| Cigna Healthcare Contracted [320071] | Hb Ardm Cigna | $410 |
| Medica Contracted [320239] | Hb Ardm Medica Exchange | $439 |
| Globalhealth Contracted [320144] | Hb Ardm Globalhealth | $470 |
| United Healthcare Contracted [320396] | Hb Ardm UHC Exchange | $567 |
| United Medical Resources Contracted [320454] | Hb Ardm UHC | $851 |
| United Healthcare Contracted [320396] | Hb Ardm UHC | $851 |
| Healthcare Highways Plus Contracted [320175] | Hb Ada, Ardm, Oklc Heal | $953 |
| Mercy Benefit Admin Contracted [320251] | Hb Ada, Ardm, Hmh, Kgfer, Lg | $1,466 |
| Mercy Benefit Admin Contracted [320251] | Hb Oklc Ada Ardm City Of Jac | $1,466 |
| Mercy Benefit Admin Contracted [320251] | Hb Oklc Ada Ardm Sapaugh Dec | $1,466 |
| Mercy Benefit Admin Contracted [320251] | Hb Ada, Ardm, Oklc Tall Tree | $1,466 |
| Mercy Benefit Admin Contracted [320251] | Hb Oklc Ada Ardm Schaefer / | $1,466 |
| Mercy Benefit Admin Contracted [320251] | Hb Oklc Ada Ardm Dec Town An | $1,466 |
| Mercy Benefit Admin Contracted [320251] | Hb Oklc Ada Ardm Easter Seal | $1,466 |
| Healthcare Highways Plus Contracted [320175] | Hb Ardm, Oklc Healthcar | $1,466 |
| Healthlink Contracted [320179] | Hb Oklc Ada Ardm Sapaugh Dec | $1,466 |
| Point C Contracted [320238] | Hb Ardm, Oklc Network Affiliation Agreem | $1,589 |
| Mercy Benefit Admin Contracted [320251] | Hb Oklc Ada Ardm Clayco Dec | $1,589 |
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