CMS Price Transparency Data

CT scan, head (with contrast)

Facility: Rush University Medical Center

Billing Code: 70460 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70460
  • Insurance Median: $919
  • Cash Discount Price: $1,129
  • vs. Medicare Baseline: 5.13x Medicare
The contracted insurance negotiated median rate for a CT scan, head (with contrast) at Rush University Medical Center is $919. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,129. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 5.13x the Medicare baseline. Located in 1653 West Congress Parkway, Chicago, IL.
Cash / Self-Pay
$1,129

Average discount available for prompt cash payment at this facility.

Insurance Median
$919

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: $1,129 (630%)
Insurance Median: $919 (513%)
Cash: $1,129 (630% of Medicare)
Ins. Median: $919 (513% 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 513% of the Medicare baseline (a markup of 413%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash 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 $194 - $2,258 108%
Molina Fide-Snp $195 109%
Meridian Dnsp $197 110%
Cigna $226 - $2,258 126%
Ambetter / Centene $254 142%
Molina Exch - All Other Plans $256 143%
Blue Cross Blue Shield $353 - $2,258 197%
County Care Mcaid - All Plans $382 213%
Meridian Mcaid - All Other Plans $382 213%
Molina Mcaid $404 225%
UnitedHealthcare $936 - $3,048 522%
Devoted Mcr Adv - All Plans $2,258 1260%
Humana $2,258 1260%
Wellcare Mcr Adv - All Plans $2,258 1260%
Zing Hlth Mcr Adv - All Plans $2,393 1335%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1653 West Congress Parkway, Chicago, IL 60612
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals