CMS Price Transparency Data

CT scan, head (with contrast)

Facility: Jacksonville Memorial Hospital

Billing Code: 70460 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70460
Insurance Median: $1,770
Cash Discount Price: $3,848
vs. Medicare Baseline: 9.88x Medicare

The contracted insurance negotiated median rate for a CT scan, head (with contrast) at Jacksonville Memorial Hospital is $1,770. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,848. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 9.88x the Medicare baseline. Located in 1600 W Walnut St, Jacksonville, IL.

Cash / Self-Pay

$3,848

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,770

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: $3,848 (2147%)

Insurance Median: $1,770 (988%)

Cash: $3,848 (2147% of Medicare)

Ins. Median: $1,770 (988% 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 988% of the Medicare baseline (a markup of 888%). 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	$131 - $3,848	73%
Tricare	$138 - $702	77%
Coventry	$139 - $606	78%
Health Alliance	$139 - $2,617	78%
Humana	$139 - $3,282	78%
Medicare (plans)	$139 - $606	78%
UnitedHealthcare	$146 - $2,771	81%
Medicaid / KanCare	$595	332%
Molina Healthcare	$595	332%
Corvel/Corcare	$814 - $1,021	454%
Illinois Workers Compensation	$875 - $1,637	488%
Healthlink	$1,050 - $3,271	586%
Commercial Workers Compensation	$1,555	868%
Health Alliance Mh Employee Plan	$1,770	988%
Current Health Network	$2,116 - $2,886	1181%
6 Degrees Health	$2,309	1289%
Hope Trust	$2,309	1289%
Hst	$2,309	1289%
Cigna	$2,667	1488%
Aetna	$2,690 - $3,078	1501%
Phcs/Multiplan	$3,463	1932%
Hfn	$3,656	2040%
Liability	$3,848	2147%

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 $3,848.
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 Jacksonville Memorial 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.