Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
CT Head/Brain WO Cont
Booneville, AR
See all hospitals reporting CPT 70450 →Price type
Mercy Hospital Booneville’s median price of $454 is 43% above the median hospital's median price ($317), higher than 59% of the 2,638 hospitals reporting CPT 70450. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 17 payers, 25 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | ||||
|---|---|---|---|---|
| 1 | Medicaid hb bnvar ok medicaid facility · fee schedule · outpatient | $57.46 | $57.46 | $57.46 – $57.46 |
| 2 | Aetna hb bnvar ok managed medicaid facility · fee schedule · outpatient | $93.30 | $93.30 | $93.30 – $93.30 |
| 3 | Humana hb bnvar ok managed medicaid facility · fee schedule · outpatient | $93.30 | $93.30 | $93.30 – $93.30 |
| 4 | Anthem hb bnvar blue cross facility · fee schedule · outpatient | $107.60 | $107.60 | $107.60 – $107.60 |
| 5 | Blue Cross Blue Shield hb bnvar blue cross facility · fee schedule · outpatient | $107.60 | $107.60 | $107.60 – $107.60 |
| 6 | Medicaid hb bnvar ark medicaid facility · fee schedule · outpatient | $165.00 | $165.00 | $165.00 – $165.00 |
| 7 | Caresource hb bnvar caresource medicaid facility · fee schedule · outpatient | $168.30 | $168.30 | $168.30 – $168.30 |
| 8 | Optum hb ftsm,wldar,ozkar,prsar,bnvr uhc facility · fee schedule · outpatient | $252.18 | $252.18 | $252.18 – $252.18 |
| 9 | UnitedHealthcare hb ftsm,wldar,ozkar,prsar,bnvr uhc facility · fee schedule · outpatient | $252.18 | $252.18 | $252.18 – $252.18 |
| 10 | Aetna hb bnvar managed medicare facility · percent of total billed charges · outpatientfrom % of charges | $454.40 | $454.40 | $454.40 – $454.40 |
| 11 | Blue Cross Blue Shield hb bnvar managed medicare facility · percent of total billed charges · outpatientfrom % of charges | $454.40 | $454.40 | $454.40 – $454.40 |
| 12 | First Health hb bnvar managed medicare facility · percent of total billed charges · outpatientfrom % of charges | $454.40 | $454.40 | $454.40 – $454.40 |
| 13 | Humana hb bnvar humana mcr facility · percent of total billed charges · outpatientfrom % of charges | $454.40 | $454.40 | $454.40 – $454.40 |
| 14 | Humana hb bnvar managed medicare facility · percent of total billed charges · outpatientfrom % of charges | $454.40 | $454.40 | $454.40 – $454.40 |
| 15 | Medica hb bnvar managed medicare facility · percent of total billed charges · outpatientfrom % of charges | $454.40 | $454.40 | $454.40 – $454.40 |
| 16 | Medicare hb bnvar medicare facility · percent of total billed charges · outpatientfrom % of charges | $454.40 | $454.40 | $454.40 – $454.40 |
| 17 | UnitedHealthcare hb bnvar uhc medicare 100% facility · percent of total billed charges · outpatientfrom % of charges | $454.40 | $454.40 | $454.40 – $454.40 |
| 18 | Tricare hb bnvar tricare facility · percent of total billed charges · outpatientfrom % of charges | $456.14 | $456.14 | $456.14 – $456.14 |
| 19 | WellCare hb bnvar novasys mcr 103% facility · percent of total billed charges · outpatientfrom % of charges | $467.99 | $467.99 | $467.99 – $467.99 |
| 20 | Devoted hb bnvar devoted health mcr facility · percent of total billed charges · outpatientfrom % of charges | $472.62 | $472.62 | $472.62 – $472.62 |
| 21 | Cigna hb bnvar healthspring 105% mcr facility · percent of total billed charges · outpatientfrom % of charges | $477.10 | $477.10 | $477.10 – $477.10 |
| 22 | Ambetter hb bnvar novasys ambetter exchange facility · percent of total billed charges · outpatientfrom % of charges | $626.86 | $626.86 | $626.86 – $626.86 |
| 23 | Aetna hb wldar,ozkar,prsar,bnvr conventry/aetna facility · percent of total billed charges · outpatientfrom % of charges | $1,004 | $1,004 | $1,004 – $1,004 |
| 24 | MultiPlan hb bnvar multiplan facility · percent of total billed charges · outpatientfrom % of charges | $1,235 | $1,235 | $1,235 – $1,235 |
| 25 | Cigna hb bnvar cigna facility · percent of total billed charges · outpatientfrom % of charges | $1,312 | $1,312 | $1,312 – $1,312 |
Last updated: Jun 8, 2026
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