CMS Price Transparency Data

CT scan, head (with contrast)

Facility: Ascension Seton Medical Center Austin

Billing Code: 70460 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70460
  • Insurance Median: $173
  • Cash Discount Price: $1,474
  • vs. Medicare Baseline: 0.97x Medicare
The contracted insurance negotiated median rate for a CT scan, head (with contrast) at Ascension Seton Medical Center Austin is $173. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,474. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 0.97x the Medicare baseline. Located in 1201 W 38Th St, Austin, TX.
Cash / Self-Pay
$1,474

Average discount available for prompt cash payment at this facility.

Insurance Median
$173

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: $1,474 (823%)
Insurance Median: $173 (97%)
Cash: $1,474 (823% of Medicare)
Ins. Median: $173 (97% 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.

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
Champva $110 - $158 61%
Ambetter / Centene $153 - $311 85%
Blue Cross Blue Shield $153 - $815 85%
Dell Chip/Chip Perinate $153 - $154 85%
Dell Star $153 - $154 85%
UnitedHealthcare $153 - $176 85%
Wellpoint Chip/Chip Perinate $153 85%
Wellpoint Star $153 - $154 85%
Wellpoint Star Kids $153 85%
Wellpoint Star Plus $153 - $154 85%
Aarp Mc Wellmed $169 94%
Sendero Chap $171 95%
Addr Cancer Together $173 97%
Aetna $173 - $1,345 97%
Covid Hrsa $173 97%
Cshcn Cidc $173 97%
Devoted Health Mcr Replacement $173 97%
Humana $173 - $188 97%
Medicare (plans) $173 97%
Research Study $173 97%
Smarthealth $173 97%
Superior Allwell $173 97%
Tricare $173 - $229 97%
Uhcpcip $173 97%
Wellcare Med Advantage $173 97%
Connected Senior Care $178 99%
Pphp Mcr Advantage $181 101%
Tx Independence Hp $181 101%
Occunet $242 135%
Sendero Idealcare $302 169%
Seton Performance Plus $635 354%
Covenant Health $1,026 573%
Cigna $1,610 898%
Superior Star $1,637 914%
Superior Star Foster $1,637 914%
Superior Star Kids $1,637 914%
Superior Star Plus $1,637 914%
Superior Chip/Chip Perinate $1,842 1028%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1201 W 38Th St, Austin, TX 78705
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals