CMS Price Transparency Data

CT scan, head (with and without contrast)

Facility: St Alexius Medical Center

Billing Code: 70470 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70470
  • Insurance Median: $232
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.29x Medicare
The contracted insurance negotiated median rate for a CT scan, head (with and without contrast) at St Alexius Medical Center is $232. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 1.29x the Medicare baseline. Located in 1555 N Barrington Rd, Hoffman Estates, IL.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$232

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%)
Insurance Median: $232 (129%)
Ins. Median: $232 (129% 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
Aarp $176 98%
UnitedHealthcare $176 - $187 98%
Aetna $186 - $1,215 104%
Blue Cross Blue Shield $186 - $1,215 104%
Covid-19 Uninsured $186 104%
Humana $186 - $602 104%
Medicare (plans) $186 - $191 104%
Molina Healthcare Of Illinois $191 107%
Bright Health $232 129%
Smarthealth $260 145%
Actin Care $288 161%
Ambetter / Centene $301 168%
Cigna $1,147 - $1,192 640%
County Care $1,215 678%
Harmony Health Plan $1,215 678%
Illinicare $1,215 678%
Medicaid / KanCare $1,215 678%
Meridian $1,215 678%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1555 N Barrington Rd, Hoffman Estates, IL 60169
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals