CMS Price Transparency Data

CT scan, head (with contrast)

Facility: Medical City North Hills

Billing Code: 70460 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70460
  • Insurance Median: $709
  • Cash Discount Price: $6,590
  • vs. Medicare Baseline: 3.96x Medicare
The contracted insurance negotiated median rate for a CT scan, head (with contrast) at Medical City North Hills is $709. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $6,590. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 3.96x the Medicare baseline. Located in 4401 Booth Calloway Road, North Richland Hills, TX.
Cash / Self-Pay
$6,590

Average discount available for prompt cash payment at this facility.

Insurance Median
$709

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: $6,590 (3677%)
Insurance Median: $709 (396%)
Cash: $6,590 (3677% of Medicare)
Ins. Median: $709 (396% 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 396% of the Medicare baseline (a markup of 296%). 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
Amerigroup $152 85%
Cook Childrens Health Plan $152 85%
Parkland Community Health Plan $152 85%
United $152 - $1,417 85%
Cigna $160 - $5,272 89%
Aetna $165 - $4,791 92%
Molina $168 - $171 94%
Humana $190 - $427 106%
Blue Cross Blue Shield $217 - $2,926 121%
Imaging Providers Of Texas $350 195%
Superior Health Plan $461 257%
Unicare $1,384 - $6,590 772%
Healthcare Highways $2,227 1243%
City Of Mckinney $2,966 1655%
Fidelis Securecare $2,966 1655%
National Choicecare $3,295 1839%
Pc Texas Partners $3,625 2023%
Physicians Coop Of Tx $3,625 2023%
Rockport Health Group $3,625 2023%
Averde Health, Inc $3,822 2133%
Magellan Behavior Health $3,954 2206%
Coastal Comp Health Networks $4,613 2574%
Mega Life $4,613 2574%
Healthsmart Preferred Care $4,943 2758%
Lewisville Isd/Dls Consulting $4,943 2758%
Usa Managed Care $5,272 2942%
Usc Health Services $5,272 2942%
Galaxy Health Network $5,602 3126%
Independent Medical Systems $6,590 3677%
National Healthcare Solutions $6,590 3677%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 4401 Booth Calloway Road, North Richland Hills, TX 76180
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals