CMS Price Transparency Data

CT scan, head (no contrast)

Facility: Jacksonville Memorial Hospital

Billing Code: 70450 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70450
Insurance Median: $2,039
Cash Discount Price: $3,423
vs. Medicare Baseline: 19.09x Medicare

The contracted insurance negotiated median rate for a CT scan, head (no contrast) at Jacksonville Memorial Hospital is $2,039. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,423. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 19.09x the Medicare baseline. Located in 1600 W Walnut St, Jacksonville, IL.

Cash / Self-Pay

$3,423

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,039

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: $3,423 (3205%)

Insurance Median: $2,039 (1909%)

Cash: $3,423 (3205% of Medicare)

Ins. Median: $2,039 (1909% 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 1909% of the Medicare baseline (a markup of 1809%). 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
Blue Cross Blue Shield	$94 - $3,707	88%
Coventry	$99 - $584	93%
Health Alliance	$99 - $2,521	93%
Humana	$99 - $3,162	93%
Medicare (plans)	$99 - $584	93%
Tricare	$99 - $676	93%
UnitedHealthcare	$104 - $2,669	97%
Medicaid / KanCare	$595	557%
Molina Healthcare	$595	557%
Corvel/Corcare	$816 - $949	764%
Illinois Workers Compensation	$877 - $1,040	821%
Commercial Workers Compensation	$988	925%
Healthlink	$1,050 - $3,151	983%
Health Alliance Mh Employee Plan	$1,443 - $1,705	1351%
Current Health Network	$1,726 - $2,780	1616%
6 Degrees Health	$1,883 - $2,224	1763%
Hope Trust	$1,883 - $2,224	1763%
Hst	$1,883 - $2,224	1763%
Cigna	$2,175 - $2,569	2036%
Aetna	$2,193 - $2,966	2053%
Phcs/Multiplan	$2,824 - $3,336	2644%
Hfn	$2,981 - $3,522	2791%
Liability	$3,138 - $3,707	2938%

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 $3,423.
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 Jacksonville Memorial 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.