CMS Price Transparency Data

CT scan, head (with and without contrast)

Facility: HCA Houston Healthcare Southeast

Billing Code: 70470 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70470
  • Insurance Median: $1,121
  • Cash Discount Price: $17,318
  • vs. Medicare Baseline: 6.26x Medicare
The contracted insurance negotiated median rate for a CT scan, head (with and without contrast) at HCA Houston Healthcare Southeast is $1,121. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $17,318. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 6.26x the Medicare baseline. Located in 4000 Spencer Hwy, Pasadena, TX.
Cash / Self-Pay
$17,318

Average discount available for prompt cash payment at this facility.

Insurance Median
$1,121

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: $17,318 (9664%)
Insurance Median: $1,121 (626%)
Cash: $17,318 (9664% of Medicare)
Ins. Median: $1,121 (626% 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 626% of the Medicare baseline (a markup of 526%). 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
Texas Health Network $172 96%
Amerigroup $175 98%
Texas Childrens Health Plans $175 - $3,048 98%
Community Health Choice Mcd $180 100%
United $184 - $7,793 103%
Molina Healthcare $193 108%
Aetna $195 - $1,301 109%
Humana $219 - $2,242 122%
Blue Cross Blue Shield $392 - $6,061 219%
Superior Health Plan $1,039 580%
Cigna $1,635 - $13,854 912%
Texas Workforce Commission $4,156 2319%
Christus (Usfhp) $6,927 3866%
Healthsmart Preferred Care $7,447 - $14,720 4156%
Fidelis Securecare Of Tx $7,793 4349%
Coventry National First Health $9,230 5151%
Physicians Cooperative Of Texas $9,525 5315%
Rockport Workers Comp $9,525 5315%
Beech Street $10,391 - $13,854 5799%
Independent Medical System $10,391 5799%
National Healthcare Solutions $10,391 5799%
Prime Health Services $10,391 5799%
Southwest Medical $10,391 5799%
Coastal Comp $11,256 6281%
Fiesta Mart, Inc $12,988 7248%
Physicians, Inc $14,720 8214%
Affiliated Ppo $15,586 8698%
Multiplan $15,586 8698%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 4000 Spencer Hwy, Pasadena, TX 77504
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals