CMS Price Transparency Data

CT scan, head (with and without contrast)

Facility: Ann & Robert H Lurie Childrens Hospital of Chicago

Billing Code: 70470 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70470
  • Insurance Median: $3,086
  • Cash Discount Price: $2,700
  • vs. Medicare Baseline: 17.22x Medicare
The contracted insurance negotiated median rate for a CT scan, head (with and without contrast) at Ann & Robert H Lurie Childrens Hospital of Chicago is $3,086. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,700. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 17.22x the Medicare baseline. Located in 225 E Chicago Ave, Box 140, Chicago, IL.
Cash / Self-Pay
$2,700

Average discount available for prompt cash payment at this facility.

Insurance Median
$3,086

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: $2,700 (1507%)
Insurance Median: $3,086 (1722%)
Cash: $2,700 (1507% of Medicare)
Ins. Median: $3,086 (1722% 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 1722% of the Medicare baseline (a markup of 1622%). 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) $656 - $2,656 366%
Magellan $900 - $3,086 502%
UnitedHealthcare $1,126 - $1,210 628%
Mercycare Health $1,427 796%
Blue Cross Blue Shield $1,512 - $3,086 844%
Cigna $1,620 - $2,738 904%
Aetna $1,928 - $2,614 1076%
Beacon Health Options $1,928 1076%
La Rabida Childrens Hospital $1,928 1076%
Centegra $2,314 1291%
Independent Physicians At Mercy $2,314 1291%
Advanced Physicians Association Ipa $2,700 1507%
Health Plus $2,700 1507%
Imagine Health $2,700 1507%
Methodist First Choice $2,700 1507%
Northwest Community Healthcare $2,700 1507%
Presence Health Partners $2,700 1507%
St. Francis $2,700 1507%
Ui Health $2,700 1507%
West Suburban Health Providers $2,700 1507%
Shriners Hospital $2,893 1614%
Swedish Covenant Physician Partners $2,893 1614%
American Psych Systems $3,086 1722%
Health Alliance $3,086 1722%
Macneal Health $3,086 1722%
Healthlink Inc. $3,182 1776%
Cofinity $3,278 1829%
Hfn Inc $3,278 - $3,471 1829%
Humana $3,278 1829%
Principal Healthcare $3,278 1829%
St. Elizabeth $3,278 1829%
First Health $3,394 1894%
Healthstar $3,394 1894%
Preferred Health Network $3,394 1894%
Sagamore Health Network $3,394 1894%
Beech Street $3,471 1937%
Benchmark Health $3,471 1937%
Employer'S Coalition On Health $3,471 1937%
Private Health Care System $3,471 1937%
Security Health Plan $3,471 1937%
Swedish American $3,471 1937%
Wellmark/Healthnetwork $3,548 1980%
Health Smart $3,664 2045%
Integrated Health Plan $3,664 2045%
Multiplan $3,664 2045%
National Provider Network $3,664 2045%
Wea Insurance Group $3,664 2045%
Unicare $3,678 - $8,500 2052%

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