CT head without contrast at Mercy Hospital Healdton. CPT 70450.
What Mercy Hospital Healdton publishes for this service, straight from its standard-charges file, last updated June 12, 2026.
Outpatient / ER
$1,407cash price (self-pay)
$2,165list price
$57.46–$1,949range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna Medicaid Contracted [320009] | Hb Hmh Ok Medicaid (Soonercare) | $57.46 |
| Medicaid [20240] | Hb Hmh Ok Medicaid (Soonercare) | $57.46 |
| Oklahoma Complete Health Medicaid Contracted [320485] | Hb Hmh Ok Medi | $57.46 |
| Humana Medicaid Contracted [320486] | Hb Hmh Ok Medicaid (Soonercare) | $57.46 |
| Health Choice Contracted [320166] | Hb Ada, Ardm, Hmh, Kgfer, Lgnok, L | $294 |
| Prominence Health Plan Medicare Advantage Contracted [320496] | Hb Hmh | $595 |
| Halo Hcr Inc Hospice Contracted [320432] | Hb Hmh Managed Medicare 100 | $595 |
| Kindful Hospice Contracted [320434] | Hb Hmh Managed Medicare 100% W/S | $595 |
| Wellcare Medicare Advantage Contracted [320421] | Hb Hmh Managed Medic | $595 |
| Elara Caring Aspire Hospice Contracted [320433] | Hb Hmh Managed Medic | $595 |
| Provider Partners Health Plans Contracted [320450] | Hb Hmh Managed Me | $595 |
| Medica Medicare Advantage Contracted [320477] | Hb Hmh Medica Medicare | $595 |
| United Healthcare Contracted [320396] | Hb Hmh Managed Medicare 100% W | $595 |
| Healthspring Medicare Advantage Contracted [320526] | Hb Hmh Cigna Mcr | $612 |
| Devoted Health Medicare Contracted [320500] | Hb Hmh Devoted Health Mc | $630 |
| Ambetter Contracted [320452] | Hb Hmh Ambetter Exchange Medicare | $650 |
| United Healthcare Medicare Advantage Contracted [320398] | Hb Hmh UHC | $701 |
| Medica Medicare Advantage Contracted [320477] | Hb Hmh Medica Exchange | $824 |
| Webtpa Contracted [320417] | Hb Oklc Heart Hospital Employer | $909 |
| Centivo Contracted [320505] | Hb Hmh Centivo Mcr 165% | $1,000 |
| Mercy Benefit Admin Contracted [320251] | Hb Ada, Ardm, Hmh, Kgfer, Lg | $1,299 |
| Show-Me Health Administrators Contracted [320483] | Hb Ada, Ardm, Hmh, | $1,299 |
| Show-Me Health Administrators Contracted [320483] | Hb Oklc Ada Ardm H | $1,299 |
| Quik Trip Contracted [320447] | Hb Ada, Ardm, Hmh, Kgfer, Lgnok, Lhcp, | $1,299 |
| Optum Health Behavioral Solutions [520250] | Hb Hmh UHC | $1,516 |
| United Medical Resources Contracted [320454] | Hb Hmh UHC | $1,516 |
| United Healthcare Contracted [320396] | Hb Hmh UHC | $1,516 |
| Mercy Benefit Admin Contracted [320251] | Hb Tish Wtga Lgnok Kgfer Hmh | $1,840 |
| Reflect Health Contracted [320492] | Hb Hmh Kgfer Lgnok Tish Wtga Ww W | $1,840 |
| Ebms Contracted [320493] | Hb Tish Wtga Lgnok Kgfer Hmh Lhcp Crader Di | $1,840 |
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