CMS Price Transparency Data

CT scan, head (with and without contrast)

Facility: Deaconess Illinois Crossroads

Billing Code: 70470 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70470
  • Insurance Median: $338
  • Cash Discount Price: $1,452
  • vs. Medicare Baseline: 1.89x Medicare
The contracted insurance negotiated median rate for a CT scan, head (with and without contrast) at Deaconess Illinois Crossroads is $338. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,452. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 1.89x the Medicare baseline. Located in 8 Doctors Park Rd, Mount Vernon, IL.
Cash / Self-Pay
$1,452

Average discount available for prompt cash payment at this facility.

Insurance Median
$338

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: $1,452 (810%)
Insurance Median: $338 (189%)
Cash: $1,452 (810% of Medicare)
Ins. Median: $338 (189% 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
UnitedHealthcare $78 - $3,827 44%
Aetna $82 - $5,213 46%
Blue Cross Blue Shield $82 - $3,134 46%
Meridian Health Plan $82 - $186 46%
Molina Healthcare Of Illinois $82 - $187 46%
Wellcare $82 - $186 46%
Humana $103 - $5,147 57%
Mytru Advantage $103 - $186 57%
Umwa $103 - $186 57%
Deaconess Onecare $134 - $3,497 75%
Self-Pay $136 - $1,452 76%
Alliance Coal $142 - $483 79%
Cigna $151 - $2,567 84%
Alter-Net Medical Services, Inc. $165 - $2,310 92%
Noncontracted $165 - $297 92%
Care Improvement Plus $189 105%
Prime Health Services $292 - $4,949 163%
Guardian Resources, Inc. $327 - $5,543 182%
Healthcare'S Finest Network (Hfn) $331 - $5,609 185%
Medicalcontrol Network Solutions $331 - $5,609 185%
National Provider Network $331 - $5,609 185%
Three Rivers Provider Network $338 - $5,741 189%
Beech Street $342 - $5,807 191%
Hope Trust $529 - $2,310 295%
Encore Combined $602 - $4,025 336%
Encore Prime/Elite/Elite + $602 - $3,623 336%
Wexford Health Sources $2,969 - $4,619 1657%
Great West Healthcare Of Illinois $4,949 2762%
Multiplan - Primary Network - Phcs $5,180 2891%
Healthlink $5,279 - $5,609 2946%
Coventry Healthcare $5,556 3100%
First Health $5,556 3100%
Multiplan - Complementary Network $5,635 3145%

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