CMS Price Transparency Data

CT scan, head (no contrast)

Facility: Carle Eureka Hospital

Billing Code: 70450 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70450
Insurance Median: $1,486
Cash Discount Price: $3,303
vs. Medicare Baseline: 13.91x Medicare

The contracted insurance negotiated median rate for a CT scan, head (no contrast) at Carle Eureka Hospital is $1,486. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,303. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 13.91x the Medicare baseline. Located in 101 S Major St, Eureka, IL.

Cash / Self-Pay

$3,303

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,486

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: $3,303 (3092%)

Insurance Median: $1,486 (1391%)

Cash: $3,303 (3092% of Medicare)

Ins. Median: $1,486 (1391% 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 1391% of the Medicare baseline (a markup of 1291%). 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	$75 - $2,183	70%
Humana	$112 - $1,486	105%
Wellcare	$112	105%
Meridian	$330 - $1,585	309%
Cigna	$600	562%
Molina	$661 - $1,585	619%
UnitedHealthcare	$1,486 - $1,700	1391%
Community Partners Health Plan (Cphp)	$1,982	1856%
Healthlink	$2,147	2010%
Blue Cross Blue Shield	$2,213 - $2,775	2072%
Multiplan/Phcs	$2,477	2319%

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 $3,303.
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 Carle Eureka Hospital 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.