CMS Price Transparency Data

CT scan, head (with contrast)

Facility: Carle Foundation Hospital

Billing Code: 70460 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70460
Insurance Median: $839
Cash Discount Price: $3,560
vs. Medicare Baseline: 4.68x Medicare

The contracted insurance negotiated median rate for a CT scan, head (with contrast) at Carle Foundation Hospital is $839. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,560. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 4.68x the Medicare baseline. Located in 611 West Park Street, Urbana, IL.

Cash / Self-Pay

$3,560

Average discount available for prompt cash payment at this facility.

Insurance Median

$839

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: $3,560 (1987%)

Insurance Median: $839 (468%)

Cash: $3,560 (1987% of Medicare)

Ins. Median: $839 (468% 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 468% of the Medicare baseline (a markup of 368%). 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
Humana	$156 - $188	87%
Aetna	$161 - $2,855	90%
Blue Cross Blue Shield	$188 - $2,314	105%
Meridian	$188 - $356	105%
Molina	$188 - $1,068	105%
UnitedHealthcare	$188 - $2,204	105%
Wellcare	$188	105%
Cigna	$611 - $2,777	341%
Community Partners Health Plan (Cphp)	$2,095	1169%
Multiplan/Phcs	$2,848	1589%
Healthlink	$3,026	1689%

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 $3,560.
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 Carle Foundation 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.