CMS Price Transparency Data

CT scan, head (with contrast)

Facility: Carle Eureka Hospital

Billing Code: 70460 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70460
Insurance Median: $1,385
Cash Discount Price: $3,077
vs. Medicare Baseline: 7.73x Medicare

The contracted insurance negotiated median rate for a CT scan, head (with contrast) at Carle Eureka Hospital is $1,385. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,077. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 7.73x the Medicare baseline. Located in 101 S Major St, Eureka, IL.

Cash / Self-Pay

$3,077

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,385

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: $3,077 (1717%)

Insurance Median: $1,385 (773%)

Cash: $3,077 (1717% of Medicare)

Ins. Median: $1,385 (773% 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 773% of the Medicare baseline (a markup of 673%). 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	$100 - $2,034	56%
Humana	$156 - $1,385	87%
Wellcare	$188	105%
Meridian	$308 - $1,477	172%
Cigna	$600	335%
Molina	$615 - $1,477	343%
UnitedHealthcare	$1,385 - $1,700	773%
Community Partners Health Plan (Cphp)	$1,846	1030%
Healthlink	$2,000	1116%
Blue Cross Blue Shield	$2,062 - $2,585	1151%
Multiplan/Phcs	$2,308	1288%

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 $3,077.
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 Carle Eureka 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.