CMS Price Transparency Data

CT scan, head (no contrast)

Facility: Ann & Robert H Lurie Childrens Hospital of Chicago

Billing Code: 70450 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70450
  • Insurance Median: $2,185
  • Cash Discount Price: $1,912
  • vs. Medicare Baseline: 20.46x Medicare
The contracted insurance negotiated median rate for a CT scan, head (no contrast) at Ann & Robert H Lurie Childrens Hospital of Chicago is $2,185. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,912. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 20.46x the Medicare baseline. Located in 225 E Chicago Ave, Box 140, Chicago, IL.
Cash / Self-Pay
$1,912

Average discount available for prompt cash payment at this facility.

Insurance Median
$2,185

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: $1,912 (1790%)
Insurance Median: $2,185 (2046%)
Cash: $1,912 (1790% of Medicare)
Ins. Median: $2,185 (2046% 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 2046% of the Medicare baseline (a markup of 1946%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash 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
Medicare (plans) $464 - $2,656 434%
Magellan $900 - $2,185 843%
Mercycare Health $1,010 946%
UnitedHealthcare $1,126 - $1,210 1054%
Cigna $1,147 - $1,939 1074%
Blue Cross Blue Shield $1,183 - $2,185 1108%
Aetna $1,366 - $2,614 1279%
Beacon Health Options $1,366 1279%
La Rabida Childrens Hospital $1,366 1279%
Centegra $1,639 1535%
Independent Physicians At Mercy $1,639 1535%
Advanced Physicians Association Ipa $1,912 1790%
Health Plus $1,912 1790%
Imagine Health $1,912 1790%
Methodist First Choice $1,912 1790%
Northwest Community Healthcare $1,912 1790%
Presence Health Partners $1,912 1790%
St. Francis $1,912 1790%
Ui Health $1,912 1790%
West Suburban Health Providers $1,912 1790%
Shriners Hospital $2,048 1917%
Swedish Covenant Physician Partners $2,048 1917%
American Psych Systems $2,185 2046%
Health Alliance $2,185 2046%
Macneal Health $2,185 2046%
Healthlink Inc. $2,253 2109%
Cofinity $2,321 2173%
Hfn Inc $2,321 - $2,458 2173%
Humana $2,321 2173%
Principal Healthcare $2,321 2173%
St. Elizabeth $2,321 2173%
First Health $2,403 2250%
Healthstar $2,403 2250%
Preferred Health Network $2,403 2250%
Sagamore Health Network $2,403 2250%
Beech Street $2,458 2301%
Benchmark Health $2,458 2301%
Employer'S Coalition On Health $2,458 2301%
Private Health Care System $2,458 2301%
Security Health Plan $2,458 2301%
Swedish American $2,458 2301%
Wellmark/Healthnetwork $2,513 2353%
Health Smart $2,594 2429%
Integrated Health Plan $2,594 2429%
Multiplan $2,594 2429%
National Provider Network $2,594 2429%
Wea Insurance Group $2,594 2429%
Unicare $3,678 - $8,500 3443%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 225 E Chicago Ave, Box 140, Chicago, IL 60611
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Childrens