CMS Price Transparency Data

CT scan, head (with and without contrast)

Facility: St Francis Hospital

Billing Code: 70470 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70470
Insurance Median: $2,992
Cash Discount Price: $2,790
vs. Medicare Baseline: 16.70x Medicare

The contracted insurance negotiated median rate for a CT scan, head (with and without contrast) at St Francis Hospital is $2,992. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,790. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 16.70x the Medicare baseline. Located in 1215 Franciscan Dr, Litchfield, IL.

Cash / Self-Pay

$2,790

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,992

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: $2,790 (1557%)

Insurance Median: $2,992 (1670%)

Cash: $2,790 (1557% of Medicare)

Ins. Median: $2,992 (1670% 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 1670% of the Medicare baseline (a markup of 1570%). 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
Wexford	$377	210%
Molina Healthcare	$396 - $854	221%
Meridian Health Plan	$415	232%
Blue Cross Blue Shield	$814 - $891	454%
Clear Spring Health of Illinois	$814	454%
Humana	$814	454%
Aetna	$852 - $2,724	475%
UnitedHealthcare	$852 - $3,875	475%
Amish Community	$1,085	605%
Celtic Insurance Company	$1,961	1094%
Claim Doc	$2,034	1135%
Hopetrust	$2,228	1243%
Cigna	$2,290	1278%
Wellfirst	$2,493	1391%
First Health	$2,875	1604%
Caterpillar, Inc.	$3,108	1734%
Current Health Solutions	$3,255	1816%
Consociate Group	$3,294	1838%
Multiplan/Phcs	$3,294	1838%
Healthlink	$3,305	1844%
Provider Network of America	$3,488	1946%
Healthcare Finest Network (Hfn)	$3,488	1946%
Live360	$3,875	2162%
Interplan	$3,875	2162%
Healthscope	$3,875	2162%
Health Alliance Medical Plans	$3,875	2162%
Illinois Breast and Cervical Cancer Program	$3,875	2162%
Naphcare	$3,875	2162%

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 $2,790.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 70470.

Insurance In-Network Protection Plan

Contact your insurance company to confirm St Francis Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 70470.
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.