CMS Price Transparency Data

CT scan, head (with contrast)

Facility: Memorial Medical Center

Billing Code: 70460 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70460
Insurance Median: $1,982
Cash Discount Price: $3,304
vs. Medicare Baseline: 11.06x Medicare

The contracted insurance negotiated median rate for a CT scan, head (with contrast) at Memorial Medical Center is $1,982. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,304. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 11.06x the Medicare baseline. Located in 701 N First St, Springfield, IL.

Cash / Self-Pay

$3,304

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,982

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: $3,304 (1844%)

Insurance Median: $1,982 (1106%)

Cash: $3,304 (1844% of Medicare)

Ins. Median: $1,982 (1106% 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 1106% of the Medicare baseline (a markup of 1006%). 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
Veterans Administration	$133	74%
Blue Cross Blue Shield	$139 - $3,304	78%
Aetna	$185 - $2,511	103%
Health Alliance	$185 - $2,148	103%
Medicare (plans)	$185 - $3,304	103%
Tricare	$185	103%
UnitedHealthcare	$185 - $2,048	103%
Humana	$194 - $1,982	108%
Medicaid / KanCare	$382	213%
Molina	$389	217%
Healthlink	$505 - $2,082	282%
Cigna	$1,041	581%
Commercial Workers Compensation	$1,128	629%
Illinois Workers Compensation	$1,187	662%
Current Health Network Ppo	$1,487	830%
Phcs/Multiplan	$1,784 - $1,982	996%
6 Degrees Health	$1,982	1106%
Hopetrust	$1,982	1106%
Hst	$1,982	1106%
Magellan	$1,982	1106%
Consociate	$2,148	1199%
Hfn	$2,148	1199%
Preferred Plan	$2,478	1383%
Soi Mcfarland	$2,478	1383%
Soi Rushville	$2,478	1383%
Corvel	$2,643	1475%
Methodist First Choice	$2,643	1475%
Mutual Medical Plans	$2,808	1567%
Liability	$3,304	1844%

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 $3,304.
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 Memorial Medical Center 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.