CMS Price Transparency Data

CT scan, head (with and without contrast)

Facility: Community Hospital of Staunton

Billing Code: 70470 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70470
  • Insurance Median: $2,348
  • Cash Discount Price: $1,515
  • vs. Medicare Baseline: 13.10x Medicare
The contracted insurance negotiated median rate for a CT scan, head (with and without contrast) at Community Hospital of Staunton is $2,348. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,515. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 13.10x the Medicare baseline. Located in 400 N Caldwell St, Staunton, IL.
Cash / Self-Pay
$1,515

Average discount available for prompt cash payment at this facility.

Insurance Median
$2,348

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: $1,515 (845%)
Insurance Median: $2,348 (1310%)
Cash: $1,515 (845% of Medicare)
Ins. Median: $2,348 (1310% 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 1310% of the Medicare baseline (a markup of 1210%). 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
Tricare $159 - $876 89%
Medicare (plans) $163 - $909 91%
Clear Spring Health Ma $168 - $921 94%
Medicaid / KanCare $629 - $3,030 351%
Self Pay $1,515 845%
Cigna $1,951 1089%
Blue Cross Blue Shield $2,272 - $3,030 1268%
Healthlink $2,272 - $2,575 1268%
Health Alliance Commercial $2,424 - $3,030 1353%
Aetna $2,454 - $3,030 1369%
Multiplan/Phcs $2,575 1437%
Beech Street $2,757 1539%
UnitedHealthcare $2,959 - $3,030 1651%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 400 N Caldwell St, Staunton, IL 62088
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals