CMS Price Transparency Data

CT scan, chest (no contrast)

Facility: Illini Community Hospital

Billing Code: 71250 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 71250
Insurance Median: $3,405
Cash Discount Price: $2,464
vs. Medicare Baseline: 31.88x Medicare

The contracted insurance negotiated median rate for a CT scan, chest (no contrast) at Illini Community Hospital is $3,405. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,464. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 31.88x the Medicare baseline. Located in 640 W Washington, Pittsfield, IL.

Cash / Self-Pay

$2,464

Average discount available for prompt cash payment at this facility.

Insurance Median

$3,405

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: $2,464 (2307%)

Insurance Median: $3,405 (3188%)

Cash: $2,464 (2307% of Medicare)

Ins. Median: $3,405 (3188% 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 3188% of the Medicare baseline (a markup of 3088%). 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
Humana	$1,173 - $1,232	1098%
Blue Cross Blue Shield	$2,063 - $3,576	1931%
Blue Access	$2,404 - $2,524	2251%
United Behavioral Health	$2,404 - $2,524	2251%
UnitedHealthcare	$3,205 - $3,365	3001%
Aetna	$3,405 - $3,576	3188%
Blue Preferred	$3,405 - $3,576	3188%
Cigna	$3,405 - $3,576	3188%
Health Link	$3,405 - $3,576	3188%
Private Healthcare Systems-Multi Plan Primary	$3,405 - $3,576	3188%
Health Link Ppo	$3,606 - $3,786	3376%
Private Healthcare Systems-Multi Plan Complementary	$3,606 - $3,786	3376%

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 $2,464.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 71250.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Illini Community Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 71250.
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.