CMS Price Transparency Data

CT scan, head (with contrast)

Facility: North Texas Medical Center

Billing Code: 70460 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70460
Insurance Median: $184
Cash Discount Price: $563
vs. Medicare Baseline: 1.03x Medicare

The contracted insurance negotiated median rate for a CT scan, head (with contrast) at North Texas Medical Center is $184. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $563. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 1.03x the Medicare baseline. Located in 1900 Hospital Blvd, Gainesville, TX.

Cash / Self-Pay

$563

Average discount available for prompt cash payment at this facility.

Insurance Median

$184

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: $563 (314%)

Insurance Median: $184 (103%)

Cash: $563 (314% of Medicare)

Ins. Median: $184 (103% 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
90 Degree Benefits	$175	98%
Aetna	$175 - $1,396	98%
Blue Cross Blue Shield	$175 - $1,126	98%
Humana	$175	98%
Molina	$175 - $193	98%
Prime Health	$175 - $2,027	98%
Prominence Health	$175 - $184	98%
Superior	$175 - $193	98%
UnitedHealthcare	$175 - $2,072	98%
Wellmed	$175	98%
Wellpoint	$175	98%
Providers Partners Health Plan	$184	103%
Cigna	$901	503%
First Health	$1,351	754%
Healthcare Highways	$1,351	754%
Multiplan	$1,576	879%
Provider Select	$1,914	1068%

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 $563.
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 North Texas 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.