CMS Price Transparency Data

CT scan, sinuses

Facility: Deaconess Illinois Crossroads

Billing Code: 70486 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70486
  • Insurance Median: $162
  • Cash Discount Price: $1,255
  • vs. Medicare Baseline: 1.52x Medicare
The contracted insurance negotiated median rate for a CT scan, sinuses at Deaconess Illinois Crossroads is $162. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,255. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.52x the Medicare baseline. Located in 8 Doctors Park Rd, Mount Vernon, IL.
Cash / Self-Pay
$1,255

Average discount available for prompt cash payment at this facility.

Insurance Median
$162

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: $1,255 (1175%)
Insurance Median: $162 (152%)
Cash: $1,255 (1175% of Medicare)
Ins. Median: $162 (152% 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.

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 $38 - $4,508 36%
Blue Cross Blue Shield $38 - $2,710 36%
Humana $38 - $4,451 36%
Meridian Health Plan $38 - $117 36%
Molina Healthcare Of Illinois $38 - $117 36%
Mytru Advantage $38 - $117 36%
Umwa $38 - $117 36%
UnitedHealthcare $38 - $3,309 36%
Wellcare $38 - $117 36%
Deaconess Onecare $49 - $3,024 46%
Alliance Coal $52 - $183 49%
Alter-Net Medical Services, Inc. $61 - $1,997 57%
Noncontracted $61 - $188 57%
Self-Pay $94 - $1,255 88%
Cigna $104 - $2,220 97%
Care Improvement Plus $113 106%
Prime Health Services $201 - $4,279 188%
Guardian Resources, Inc. $225 - $4,793 211%
Healthcare'S Finest Network (Hfn) $228 - $4,850 213%
Medicalcontrol Network Solutions $228 - $4,850 213%
National Provider Network $228 - $4,850 213%
Three Rivers Provider Network $233 - $4,964 218%
Beech Street $236 - $5,021 221%
Hope Trust $316 - $1,997 296%
Encore Combined $602 - $3,481 564%
Encore Prime/Elite/Elite + $602 - $3,133 564%
Wexford Health Sources $2,568 - $3,994 2404%
Great West Healthcare Of Illinois $4,279 4006%
Multiplan - Primary Network - Phcs $4,479 4193%
Healthlink $4,565 - $4,850 4274%
Coventry Healthcare $4,804 4498%
First Health $4,804 4498%
Multiplan - Complementary Network $4,873 4562%

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