CMS Price Transparency Data

CT scan, chest (no contrast)

Facility: Deaconess Illinois Crossroads

Billing Code: 71250 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 71250
  • Insurance Median: $218
  • Cash Discount Price: $1,060
  • vs. Medicare Baseline: 2.04x Medicare
The contracted insurance negotiated median rate for a CT scan, chest (no contrast) at Deaconess Illinois Crossroads is $218. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,060. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 2.04x the Medicare baseline. Located in 8 Doctors Park Rd, Mount Vernon, IL.
Cash / Self-Pay
$1,060

Average discount available for prompt cash payment at this facility.

Insurance Median
$218

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: $1,060 (992%)
Insurance Median: $218 (204%)
Cash: $1,060 (992% of Medicare)
Ins. Median: $218 (204% 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 204% of the Medicare baseline (a markup of 104%). 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
Aetna $45 - $3,808 42%
Blue Cross Blue Shield $45 - $2,289 42%
Meridian Health Plan $45 - $111 42%
Molina Healthcare Of Illinois $45 - $112 42%
Wellcare $45 - $111 42%
Humana $48 - $3,760 45%
Mytru Advantage $48 - $111 45%
Umwa $48 - $111 45%
UnitedHealthcare $48 - $2,796 45%
Deaconess Onecare $62 - $2,555 58%
Alliance Coal $66 - $183 62%
Alter-Net Medical Services, Inc. $76 - $1,687 71%
Noncontracted $76 - $177 71%
Self-Pay $90 - $1,060 84%
Cigna $100 - $1,875 94%
Care Improvement Plus $113 106%
Prime Health Services $193 - $3,615 181%
Guardian Resources, Inc. $216 - $4,049 202%
Healthcare'S Finest Network (Hfn) $218 - $4,097 204%
Medicalcontrol Network Solutions $218 - $4,097 204%
National Provider Network $218 - $4,097 204%
Three Rivers Provider Network $224 - $4,193 210%
Beech Street $226 - $4,242 212%
Hope Trust $316 - $1,687 296%
Encore Combined $602 - $2,940 564%
Encore Prime/Elite/Elite + $602 - $2,646 564%
Wexford Health Sources $2,169 - $3,374 2031%
Great West Healthcare Of Illinois $3,615 3385%
Multiplan - Primary Network - Phcs $3,784 3543%
Healthlink $3,856 - $4,097 3610%
Coventry Healthcare $4,058 3799%
First Health $4,058 3799%
Multiplan - Complementary Network $4,116 3854%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 8 Doctors Park Rd, Mount Vernon, IL 62864
  • CMS Rating: No CMS Rating
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals