CMS Price Transparency Data

CT scan, head (with contrast)

Facility: Titus Regional Medical Center

Billing Code: 70460 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70460
Insurance Median: $151
Cash Discount Price: $970
vs. Medicare Baseline: 0.84x Medicare

The contracted insurance negotiated median rate for a CT scan, head (with contrast) at Titus Regional Medical Center is $151. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $970. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 0.84x the Medicare baseline. Located in 2001 N Jefferson, Mount Pleasant, TX.

Cash / Self-Pay

$970

Average discount available for prompt cash payment at this facility.

Insurance Median

$151

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: $970 (541%)

Insurance Median: $151 (84%)

Cash: $970 (541% of Medicare)

Ins. Median: $151 (84% 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.

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
Christus Health Plan	$38 - $178	21%
Humana	$38 - $1,131	21%
Tricare	$38 - $178	21%
Triwest	$38 - $180	21%
UnitedHealthcare	$38 - $1,293	21%
Texas Mutual	$39 - $183	22%
Curative	$42 - $534	23%
Blue Cross Blue Shield	$44 - $1,616	25%
Superior	$45 - $248	25%
Healthcare Highways	$48 - $646	27%
Claritev	$56 - $1,293	31%
Aetna	$82 - $228	46%
Healthsmart	$133 - $1,131	74%
Cigna	$152 - $1,293	85%
Galaxy Health	$180 - $1,535	100%

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 $970.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 70460.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Titus Regional Medical Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 70460.
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.