CMS Price Transparency Data

CT scan, head (no contrast)

Facility: Northwestern Medicine Marianjoy Rehabilitation Hospital

Billing Code: 70450 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70450
Insurance Median: $2,121
Cash Discount Price: $2,475
vs. Medicare Baseline: 19.86x Medicare

The contracted insurance negotiated median rate for a CT scan, head (no contrast) at Northwestern Medicine Marianjoy Rehabilitation Hospital is $2,121. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,475. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 19.86x the Medicare baseline. Located in 26W171 Roosevelt Rd, Wheaton, IL.

Cash / Self-Pay

$2,475

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,121

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: $2,475 (2317%)

Insurance Median: $2,121 (1986%)

Cash: $2,475 (2317% of Medicare)

Ins. Median: $2,121 (1986% 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 1986% of the Medicare baseline (a markup of 1886%). 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
Aetna	$1,485 - $3,535	1390%
Imagine Health [6032]	$1,485	1390%
Cigna	$1,768 - $2,121	1655%
The Alliance [1703]	$1,921	1799%
Blue Cross Blue Shield	$1,927 - $2,298	1804%
Humana	$2,121 - $3,535	1986%
Healthlink [125]	$2,227	2085%
First Health Plan [6034]	$2,365 - $3,535	2214%
Multiplan/Phcs [142]	$2,828 - $3,535	2648%
Health'S Finest Network [126]	$3,075	2879%
UnitedHealthcare	$3,535	3310%

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 $2,475.
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 Northwestern Medicine Marianjoy Rehabilitation 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.