CMS Price Transparency Data

CT scan, head (with contrast)

Facility: Saint Anthony Hospital

Billing Code: 70460 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70460
Insurance Median: $869
Cash Discount Price: $545
vs. Medicare Baseline: 4.85x Medicare

The contracted insurance negotiated median rate for a CT scan, head (with contrast) at Saint Anthony Hospital is $869. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $545. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 4.85x the Medicare baseline. Located in 2875 West 19Th Street, Chicago, IL.

Cash / Self-Pay

$545

Average discount available for prompt cash payment at this facility.

Insurance Median

$869

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: $545 (304%)

Insurance Median: $869 (485%)

Cash: $545 (304% of Medicare)

Ins. Median: $869 (485% 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 485% of the Medicare baseline (a markup of 385%). 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	$186 - $1,432	104%
Blue Cross Blue Shield	$186 - $890	104%
Cigna	$186 - $511	104%
Humana	$186	104%
Oak Street Health	$186	104%
UnitedHealthcare	$186 - $911	104%
Zing Health	$186	104%
Access Community Health Network	$589 - $659	329%
Healthlink	$1,091 - $1,145	609%
Healthsmart	$1,273 - $1,336	710%
Galaxy Health Network	$1,454 - $1,527	811%
Prime Health	$1,454 - $1,527	811%
Zelis Healthcare	$1,454 - $1,527	811%

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 $545.
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 Saint Anthony 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.