CT head without contrast at Essentia Health St. Mary's Hospital-Superior. CPT 70450.
What Essentia Health St. Mary's Hospital-Superior publishes for this service, straight from its standard-charges file, last updated January 1, 2026.
Outpatient / ER
$1,259cash price (self-pay)
$1,703list price
$106–$1,541range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Primewest | Medicaid | $106 |
| Itasca Med Care | Medicaid | $106 |
| Advocare/Security Health | Medicare | $545 |
| BLUE CROSS MEDICARE ADVANTAGE CORE | Medicare | $545 |
| Freedom Blue PPO | Medicare | $545 |
| HEALTHPARTNERS CARE MSHO / MCR ADV | Medicare | $545 |
| IMCARE MSHO PCC PRIME | Medicare | $545 |
| IMCARE MSHO REF REQ | Medicare | $545 |
| MEDICA ADVANTAGE SOLUTIONS | Medicare | $545 |
| MEDICA MSHO/Dual Solutions | Medicare | $545 |
| MEDICA PRIME SOLUTION GROUP | Medicare | $545 |
| MEDICARE ADV PFFS | Medicare | $545 |
| Medica Uplan | Commercial | $545 |
| ND VA ADMINISTRATION | Medicare | $545 |
| OUT OF STATE BCBS MEDICARE ADVANTAGE | Medicare | $545 |
| PRIMEWEST MSHO | Medicare | $545 |
| Platinum Blue/Vantage Blue | Medicare | $545 |
| SECURE BLUE MSHO | Medicare | $545 |
| SECURITY HEALTH MEDICARE | Medicare | $545 |
| BCBS MN | Medicaid | $654 |
| BLUE PLUS PMAP PCC PRIME | Medicaid | $654 |
| HealthPartners CARE PMAP | Medicaid | $685 |
| Medica Access | Medicaid | $685 |
| Sanford HealthPlan | Commercial | $730 |
| Sanford HealthPlan | Commercial-NDPERS | $730 |
| HealthPartners | SHP | $1,151 |
| BCBS Mn | Shp | $1,184 |
| Medica | Commercial-FI | $1,197 |
| Medica | Commercial-SI | $1,264 |
| BCBS WI | Commercial | $1,311 |
Inpatient
$1,259cash price (self-pay)
$1,703list price
$685–$1,541range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| HealthPartners CARE PMAP | Medicaid | $685 |
| Sanford HealthPlan | Commercial-NDPERS | $730 |
| Sanford HealthPlan | Commercial | $769 |
| BCBS MN | Medicaid | $937 |
| BLUE PLUS PMAP PCC PRIME | Medicaid | $937 |
| Medica Access | Medicaid | $1,069 |
| Ucare | Commercial | $1,121 |
| BCBS Mn | Shp | $1,124 |
| HealthPartners | SHP | $1,182 |
| MN BCBS Commercial | BCBS MN | $1,192 |
| Medica | Commercial-FI | $1,197 |
| WEA | Commercial-Narrow Network | $1,226 |
| Medica | Commercial-SI | $1,264 |
| BCBS WI | Commercial | $1,311 |
| Security Health | Commercial | $1,311 |
| WEA | Commercial | $1,311 |
| America's PPO | Commercial | $1,320 |
| Medica | IFB ACO | $1,330 |
| Cigna | Commercial | $1,357 |
| HealthPartners PCC Prime | Commercial | $1,357 |
| HealthPartners | Commercial | $1,357 |
| Medica Choice | Commercial | $1,369 |
| WPS | Commercial | $1,413 |
| Aetna First Health | Commercial | $1,448 |
| HealthEOS | Commercial | $1,465 |
| UHC | Commercial | $1,541 |
| UMR | Commercial | $1,541 |
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All common services at Essentia Health St. Mary's Hospital-Superior