CMS Price Transparency Data

CT scan, head (with contrast)

Facility: Presence Mercy Medical Center

Billing Code: 70460 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70460
  • Insurance Median: $196
  • Cash Discount Price: $187
  • vs. Medicare Baseline: 1.09x Medicare
The contracted insurance negotiated median rate for a CT scan, head (with contrast) at Presence Mercy Medical Center is $196. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $187. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 1.09x the Medicare baseline. Located in 1325 N Highland Avenue, Aurora, IL.
Cash / Self-Pay
$187

Average discount available for prompt cash payment at this facility.

Insurance Median
$196

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: $187 (104%)
Insurance Median: $196 (109%)
Cash: $187 (104% of Medicare)
Ins. Median: $196 (109% 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.

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
Ravenswood Physicians Associates Ipa $99 - $187 55%
Resurrection Physicians Provider Group Ipa $99 - $187 55%
Blue Cross Blue Shield $178 - $382 99%
Advocate Helath Partners $187 - $206 104%
Aetna $187 - $1,078 104%
Celtic (Wellcare) $187 104%
Cigna $187 - $800 104%
Clear Spring Health Of Illinois $187 104%
Devoted Health $187 104%
Essential Health Partners $187 - $215 104%
Health Alliance Medical Plan $187 104%
Humana $187 - $382 104%
Longevity Health Plan Of Illinois $187 104%
Medicare (plans) $187 104%
Self-Pay $187 104%
Tricare $187 104%
United Behavioral Health $187 104%
UnitedHealthcare $187 - $414 104%
Molina $193 - $401 108%
Zing Health Provider Network $193 108%
Meridian $196 - $401 109%
Provider Partners Health Plan (Pphp) $196 109%
Harmony Health Plan $198 - $401 110%
Access Community Health Network $224 125%
Clifton Health Systems $290 162%
Ambetter / Centene $303 169%
Medicaid / KanCare $382 - $401 213%
Standard Eapg Logic - Contracts $382 213%
Imagine Health Network, Inc. $824 460%
Hfn Inc (Healthcare Finest Network) $1,355 756%
Corvel $1,385 773%
Coventry $1,385 773%
Workers Comp $1,385 773%
Community Partners Health Plan $1,460 815%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1325 N Highland Avenue, Aurora, IL 60506
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals