CMS Price Transparency Data

CT scan, head (no contrast)

Facility: Warner Hospital and Health Services

Billing Code: 70450 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70450
Insurance Median: $2,072
Cash Discount Price: $2,657
vs. Medicare Baseline: 19.40x Medicare

The contracted insurance negotiated median rate for a CT scan, head (no contrast) at Warner Hospital and Health Services is $2,072. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,657. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 19.40x the Medicare baseline. Located in 422 W White St, Clinton, IL.

Cash / Self-Pay

$2,657

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,072

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: $2,657 (2488%)

Insurance Median: $2,072 (1940%)

Cash: $2,657 (2488% of Medicare)

Ins. Median: $2,072 (1940% 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 1940% of the Medicare baseline (a markup of 1840%). 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
Blue Cross Blue Shield	$1,057 - $2,604	990%
Aetna	$1,089 - $2,258	1020%
Health Alliance Med Adv	$1,089	1020%
Humana	$1,089 - $2,258	1020%
Molina Mcr/Mcd Dual	$1,089	1020%
UnitedHealthcare	$1,089 - $2,258	1020%
Wellcare Mcr Adv-All Plans	$1,089	1020%
Harmony Hp Mcaid-All Plans	$1,153	1079%
Medicaid / KanCare	$1,153	1079%
Meridian Hp-All Plans	$1,153	1079%
Molina-All Other Plans	$1,153	1079%
Healthlink Hmo	$2,072	1940%
City Of Clinton (Employees Serv)-All Plans	$2,125	1990%
Cigna	$2,205	2064%
Caterpillar-All Plans	$2,258	2114%
Multiplan Phcs-All Plans	$2,258	2114%
Health Alliance-All Other Plans	$2,338	2189%
Healthlink Ppo/Work Comp-All Other Plans	$2,338	2189%
Consociate Care Ppo-All Plans	$2,391	2239%
Hfn Ppo/Epo-All Plans	$2,391	2239%
Three Rivers-All Plans	$2,524	2363%

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 $2,657.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 70450.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Warner Hospital and Health Services is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 70450.
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.