CMS Price Transparency Data

CT scan, head (with contrast)

Facility: Ann & Robert H Lurie Childrens Hospital of Chicago

Billing Code: 70460 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70460
  • Insurance Median: $2,524
  • Cash Discount Price: $2,209
  • vs. Medicare Baseline: 14.08x Medicare
The contracted insurance negotiated median rate for a CT scan, head (with contrast) at Ann & Robert H Lurie Childrens Hospital of Chicago is $2,524. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,209. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 14.08x the Medicare baseline. Located in 225 E Chicago Ave, Box 140, Chicago, IL.
Cash / Self-Pay
$2,209

Average discount available for prompt cash payment at this facility.

Insurance Median
$2,524

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: $2,209 (1233%)
Insurance Median: $2,524 (1408%)
Cash: $2,209 (1233% of Medicare)
Ins. Median: $2,524 (1408% 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 1408% of the Medicare baseline (a markup of 1308%). 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) $536 - $2,656 299%
Magellan $900 - $2,524 502%
UnitedHealthcare $1,126 - $1,210 628%
Mercycare Health $1,167 651%
Cigna $1,325 - $2,240 739%
Blue Cross Blue Shield $1,366 - $2,524 762%
Aetna $1,578 - $2,614 881%
Beacon Health Options $1,578 881%
La Rabida Childrens Hospital $1,578 881%
Centegra $1,893 1056%
Independent Physicians At Mercy $1,893 1056%
Advanced Physicians Association Ipa $2,208 1232%
Health Plus $2,208 1232%
Imagine Health $2,208 1232%
Methodist First Choice $2,208 1232%
Northwest Community Healthcare $2,208 1232%
Presence Health Partners $2,208 1232%
St. Francis $2,208 1232%
Ui Health $2,208 1232%
West Suburban Health Providers $2,208 1232%
Shriners Hospital $2,366 1320%
Swedish Covenant Physician Partners $2,366 1320%
American Psych Systems $2,524 1408%
Health Alliance $2,524 1408%
Macneal Health $2,524 1408%
Healthlink Inc. $2,603 1453%
Cofinity $2,682 1497%
Hfn Inc $2,682 - $2,840 1497%
Humana $2,682 1497%
Principal Healthcare $2,682 1497%
St. Elizabeth $2,682 1497%
First Health $2,776 1549%
Healthstar $2,776 1549%
Preferred Health Network $2,776 1549%
Sagamore Health Network $2,776 1549%
Beech Street $2,840 1585%
Benchmark Health $2,840 1585%
Employer'S Coalition On Health $2,840 1585%
Private Health Care System $2,840 1585%
Security Health Plan $2,840 1585%
Swedish American $2,840 1585%
Wellmark/Healthnetwork $2,903 1620%
Health Smart $2,997 1672%
Integrated Health Plan $2,997 1672%
Multiplan $2,997 1672%
National Provider Network $2,997 1672%
Wea Insurance Group $2,997 1672%
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