CMS Price Transparency Data

CT scan, head (with contrast)

Facility: Thomas H Boyd Memorial Hospital

Billing Code: 70460 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70460
Insurance Median: $1,156
Cash Discount Price: $1,013
vs. Medicare Baseline: 6.45x Medicare

The contracted insurance negotiated median rate for a CT scan, head (with contrast) at Thomas H Boyd Memorial Hospital is $1,156. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,013. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 6.45x the Medicare baseline. Located in 800 School St, Carrollton, IL.

Cash / Self-Pay

$1,013

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,156

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: $1,013 (565%)

Insurance Median: $1,156 (645%)

Cash: $1,013 (565% of Medicare)

Ins. Median: $1,156 (645% 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 645% of the Medicare baseline (a markup of 545%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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	$136 - $1,581	76%
Blue Cross Blue Shield	$136 - $1,700	76%
Health Alliance Mcr Adv	$136 - $1,156	76%
UnitedHealthcare	$136 - $1,179	76%
Wellcare Mcr Adv-All Plans	$136 - $1,156	76%
Humana	$137 - $1,168	76%
Health Alliance-All Other Plans	$163 - $1,387	91%
Ambetter / Centene	$176 - $1,503	98%
Cigna	$190 - $1,616	106%
Multiplan-All Plans	$200 - $1,700	112%
Healthlink Hmo	$202 - $1,723	113%
Healthlink Il Only	$202 - $1,655	113%
Healthlink Ppo-All Other Plans	$229 - $1,950	128%
Hfn Zelis-All Plans	$242 - $2,063	135%
Meridian Hp Mcaid-All Plans	$1,581	882%
Molina Mcaid-All Plans	$1,581	882%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $1,013.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 70460.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Thomas H Boyd Memorial Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 70460.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.