CMS Price Transparency Data

CT scan, head (with contrast)

Facility: Alton Memorial Hospital

Billing Code: 70460 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70460
Insurance Median: $1,108
Cash Discount Price: $1,023
vs. Medicare Baseline: 6.18x Medicare

The contracted insurance negotiated median rate for a CT scan, head (with contrast) at Alton Memorial Hospital is $1,108. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,023. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 6.18x the Medicare baseline. Located in One Memorial Drive, Alton, IL.

Cash / Self-Pay

$1,023

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,108

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$179.2

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $179.2 (100%)

Cash / Self-Pay: $1,023 (571%)

Insurance Median: $1,108 (618%)

Cash: $1,023 (571% of Medicare)

Ins. Median: $1,108 (618% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $179.2 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 618% of the Medicare baseline (a markup of 518%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group	Contract Rate Range	vs. Medicare Reference
Aetna	$188 - $1,279	105%
Blue Cross Blue Shield	$188 - $1,483	105%
Humana	$188 - $1,402	105%
UnitedHealthcare	$188 - $1,267	105%
Essence Healthcare [221]	$194	108%
Cox Health [757]	$197	110%
Devoted Health Plan [847]	$197	110%
Medica [662]	$197	110%
Cigna	$597 - $1,364	333%
Consociate [478]	$694	387%
Sarah Bush Lincoln [636]	$694	387%
Allied Benefits [498]	$703 - $1,267	392%
Coresource [497]	$703	392%
Fmh Benefit Service Inc [222]	$703	392%
Mail Handlers [495]	$703	392%
Healthlink [225]	$827 - $1,287	461%
Apwu Health Plan [216]	$916	511%
Nalc Health Benefit Plan [242]	$916	511%
Priority Health [648]	$916	511%
Hope Trust [806]	$989	552%
Healthscope Benefits [258]	$1,009	563%
Cox Health Systems Insurance Company [220]	$1,108 - $1,262	618%
Med-Pay [480]	$1,108 - $1,279	618%
Unicare [568]	$1,108 - $1,287	618%
First Health Commercial [734]	$1,267	707%
Beechstreet [551]	$1,279	714%
Detego Health [868]	$1,279	714%
Health Systems Inc [620]	$1,279	714%
Healthcare Sol Mercy [609]	$1,279	714%
Multiplan Commercial [737]	$1,279	714%
Multiplan [240]	$1,279	714%
Phcs [244]	$1,279 - $1,364	714%
Preferred Health Professionals [561]	$1,287	718%
Hfn [563]	$1,364	761%
Medica [661]	$1,364	761%
Health Alliance [224]	$1,500	837%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $1,023.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 70460.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Alton Memorial Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 70460.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.