CMS Price Transparency Data

CT scan, head (with and without contrast)

Facility: Jacksonville Memorial Hospital

Billing Code: 70470 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70470
Insurance Median: $2,156
Cash Discount Price: $4,688
vs. Medicare Baseline: 12.03x Medicare

The contracted insurance negotiated median rate for a CT scan, head (with and without contrast) at Jacksonville Memorial Hospital is $2,156. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $4,688. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 12.03x the Medicare baseline. Located in 1600 W Walnut St, Jacksonville, IL.

Cash / Self-Pay

$4,688

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,156

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: $4,688 (2616%)

Insurance Median: $2,156 (1203%)

Cash: $4,688 (2616% of Medicare)

Ins. Median: $2,156 (1203% 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 1203% of the Medicare baseline (a markup of 1103%). 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	$152 - $4,688	85%
Coventry	$161 - $738	90%
Health Alliance	$161 - $3,188	90%
Humana	$161 - $3,999	90%
Medicare (plans)	$161 - $738	90%
Tricare	$161 - $855	90%
UnitedHealthcare	$169 - $3,375	94%
Medicaid / KanCare	$595	332%
Molina Healthcare	$595	332%
Healthlink	$1,050 - $3,985	586%
Corvel/Corcare	$1,164 - $1,374	650%
Illinois Workers Compensation	$1,250 - $1,464	698%
Commercial Workers Compensation	$1,390	776%
Health Alliance Mh Employee Plan	$2,156	1203%
Current Health Network	$2,578 - $3,516	1439%
6 Degrees Health	$2,813	1570%
Hope Trust	$2,813	1570%
Hst	$2,813	1570%
Cigna	$3,249	1813%
Aetna	$3,277 - $3,750	1829%
Phcs/Multiplan	$4,219	2354%
Hfn	$4,454	2485%
Liability	$4,688	2616%

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 $4,688.
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 Jacksonville Memorial 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.