CMS Price Transparency Data

CT scan, head (with and without contrast)

Facility: Illini Community Hospital

Billing Code: 70470 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70470
Insurance Median: $4,484
Cash Discount Price: $3,165
vs. Medicare Baseline: 25.02x Medicare

The contracted insurance negotiated median rate for a CT scan, head (with and without contrast) at Illini Community Hospital is $4,484. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,165. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 25.02x the Medicare baseline. Located in 640 W Washington, Pittsfield, IL.

Cash / Self-Pay

$3,165

Average discount available for prompt cash payment at this facility.

Insurance Median

$4,484

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: $3,165 (1766%)

Insurance Median: $4,484 (2502%)

Cash: $3,165 (1766% of Medicare)

Ins. Median: $4,484 (2502% 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 2502% of the Medicare baseline (a markup of 2402%). 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	$1,545	862%
Blue Cross Blue Shield	$2,717 - $4,484	1516%
Blue Access	$3,165	1766%
United Behavioral Health	$3,165	1766%
UnitedHealthcare	$4,220	2355%
Aetna	$4,484	2502%
Blue Preferred	$4,484	2502%
Cigna	$4,484	2502%
Health Link	$4,484	2502%
Private Healthcare Systems-Multi Plan Primary	$4,484	2502%
Health Link Ppo	$4,747	2649%
Private Healthcare Systems-Multi Plan Complementary	$4,747	2649%

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 $3,165.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 70470.

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 70470.
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.