CMS Price Transparency Data

CT scan, head (no contrast)

Facility: HSHS St Elizabeth's Hospital

Billing Code: 70450 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70450
Insurance Median: $2,334
Cash Discount Price: $2,114
vs. Medicare Baseline: 21.85x Medicare

The contracted insurance negotiated median rate for a CT scan, head (no contrast) at HSHS St Elizabeth's Hospital is $2,334. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,114. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 21.85x the Medicare baseline. Located in One St Elizabeth Boulevard, O Fallon, IL.

Cash / Self-Pay

$2,114

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,334

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: $2,114 (1979%)

Insurance Median: $2,334 (2185%)

Cash: $2,114 (1979% of Medicare)

Ins. Median: $2,334 (2185% 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 2185% of the Medicare baseline (a markup of 2085%). 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	$119 - $2,067	111%
Blue Cross Blue Shield	$119 - $2,936	111%
Clear Spring Health Of Illinois	$119	111%
Health Alliance Medical Plans	$119 - $2,496	111%
Health Partners	$119	111%
Humana	$119	111%
Sae Hospice	$119	111%
UnitedHealthcare	$119 - $2,936	111%
Molina Healthcare	$124 - $277	116%
Celtic Insurance Company	$237	222%
Naphcare	$257	241%
Hopetrust	$285	267%
Meridian Health Plan	$290	272%
Claim Doc	$297	278%
Amish Community	$822	770%
Wellfirst	$1,890	1769%
First Health	$2,184	2045%
Cigna	$2,290 - $2,936	2144%
Healthlink	$2,334 - $2,936	2185%
Caterpillar, Inc.	$2,358	2208%
Consociate Group	$2,584	2419%
Choicecare	$2,642	2474%
Healthcare Finest Network (Hfn)	$2,642	2474%
Multiplan/Phcs	$2,642	2474%
Provider Network Of America	$2,642	2474%
City Of Springfield	$2,936	2749%
Current Health Solutions	$2,936	2749%
Healthscope	$2,936	2749%
Illinois Breast And Cervical Cancer Program	$2,936	2749%
Interplan	$2,936	2749%
Live360	$2,936	2749%
Wexford	$2,936	2749%

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 $2,114.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 70450.

Insurance In-Network Protection Plan

Contact your insurance company to confirm HSHS St Elizabeth's Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 70450.
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.