CMS Price Transparency Data

CT scan, head (no contrast)

Facility: Memorial Medical Center

Billing Code: 70450 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70450
  • Insurance Median: $1,883
  • Cash Discount Price: $3,138
  • vs. Medicare Baseline: 17.63x Medicare
The contracted insurance negotiated median rate for a CT scan, head (no contrast) at Memorial Medical Center is $1,883. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,138. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 17.63x the Medicare baseline. Located in 701 N First St, Springfield, IL.
Cash / Self-Pay
$3,138

Average discount available for prompt cash payment at this facility.

Insurance Median
$1,883

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$106.81

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $106.81 (100%)
Cash / Self-Pay: $3,138 (2938%)
Insurance Median: $1,883 (1763%)
Cash: $3,138 (2938% of Medicare)
Ins. Median: $1,883 (1763% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $106.81 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 1763% of the Medicare baseline (a markup of 1663%). 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
Veterans Administration $79 74%
Blue Cross Blue Shield $99 - $3,138 93%
Aetna $110 - $2,385 103%
Health Alliance $110 - $2,040 103%
Medicare (plans) $110 - $3,138 103%
Tricare $110 103%
UnitedHealthcare $110 - $1,946 103%
Humana $116 - $1,883 109%
Medicaid / KanCare $382 358%
Molina $389 364%
Healthlink $412 - $1,977 386%
Cigna $1,041 975%
Commercial Workers Compensation $1,048 981%
Illinois Workers Compensation $1,103 1033%
Current Health Network Ppo $1,412 1322%
Phcs/Multiplan $1,695 - $1,883 1587%
6 Degrees Health $1,883 1763%
Hopetrust $1,883 1763%
Hst $1,883 1763%
Magellan $1,883 1763%
Consociate $2,040 1910%
Hfn $2,040 1910%
Preferred Plan $2,354 2204%
Soi Mcfarland $2,354 2204%
Soi Rushville $2,354 2204%
Corvel $2,510 2350%
Methodist First Choice $2,510 2350%
Mutual Medical Plans $2,667 2497%
Liability $3,138 2938%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 701 N First St, Springfield, IL 62702
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals