CMS Price Transparency Data

CT scan, head (with contrast)

Facility: Deaconess Illinois Crossroads

Billing Code: 70460 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70460
  • Insurance Median: $536
  • Cash Discount Price: $1,291
  • vs. Medicare Baseline: 2.99x Medicare
The contracted insurance negotiated median rate for a CT scan, head (with contrast) at Deaconess Illinois Crossroads is $536. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,291. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 2.99x the Medicare baseline. Located in 8 Doctors Park Rd, Mount Vernon, IL.
Cash / Self-Pay
$1,291

Average discount available for prompt cash payment at this facility.

Insurance Median
$536

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: $1,291 (720%)
Insurance Median: $536 (299%)
Cash: $1,291 (720% of Medicare)
Ins. Median: $536 (299% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 299% of the Medicare baseline (a markup of 199%). 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 $87 - $4,635 49%
Blue Cross Blue Shield $87 - $2,787 49%
Humana $87 - $4,576 49%
Meridian Health Plan $87 - $186 49%
Molina Healthcare Of Illinois $87 - $187 49%
Mytru Advantage $87 - $186 49%
Umwa $87 - $186 49%
UnitedHealthcare $87 - $3,403 49%
Wellcare $87 - $186 49%
Deaconess Onecare $113 - $3,110 63%
Alliance Coal $120 - $432 67%
Alter-Net Medical Services, Inc. $139 - $2,054 78%
Noncontracted $139 - $297 78%
Care Improvement Plus $189 105%
Self-Pay $233 - $1,291 130%
Cigna $259 - $2,282 145%
Prime Health Services $500 - $4,400 279%
Hope Trust $529 - $2,054 295%
Guardian Resources, Inc. $560 - $4,929 313%
Healthcare'S Finest Network (Hfn) $567 - $4,987 316%
Medicalcontrol Network Solutions $567 - $4,987 316%
National Provider Network $567 - $4,987 316%
Three Rivers Provider Network $580 - $5,105 324%
Beech Street $587 - $5,163 328%
Encore Combined $602 - $3,579 336%
Encore Prime/Elite/Elite + $602 - $3,221 336%
Wexford Health Sources $2,640 - $4,107 1473%
Great West Healthcare Of Illinois $4,400 2455%
Multiplan - Primary Network - Phcs $4,606 2570%
Healthlink $4,694 - $4,987 2619%
Coventry Healthcare $4,940 2757%
First Health $4,940 2757%
Multiplan - Complementary Network $5,011 2796%

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