CMS Price Transparency Data

CT scan, head (with contrast)

Facility: HCA Houston Healthcare Southeast

Billing Code: 70460 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70460
  • Insurance Median: $1,114
  • Cash Discount Price: $14,461
  • vs. Medicare Baseline: 6.22x Medicare
The contracted insurance negotiated median rate for a CT scan, head (with contrast) at HCA Houston Healthcare Southeast is $1,114. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $14,461. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 6.22x the Medicare baseline. Located in 4000 Spencer Hwy, Pasadena, TX.
Cash / Self-Pay
$14,461

Average discount available for prompt cash payment at this facility.

Insurance Median
$1,114

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: $14,461 (8070%)
Insurance Median: $1,114 (622%)
Cash: $14,461 (8070% of Medicare)
Ins. Median: $1,114 (622% 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 622% of the Medicare baseline (a markup of 522%). 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 $149 83%
Amerigroup $152 85%
Texas Childrens Health Plans $152 - $2,545 85%
Community Health Choice Mcd $153 85%
United $156 - $6,508 87%
Aetna $166 - $1,301 93%
Molina Healthcare $168 94%
Humana $190 - $1,863 106%
Blue Cross Blue Shield $392 - $5,061 219%
Superior Health Plan $868 484%
Cigna $1,635 - $11,569 912%
Texas Workforce Commission $3,471 1937%
Christus (Usfhp) $5,784 3228%
Healthsmart Preferred Care $6,218 - $12,292 3470%
Fidelis Securecare Of Tx $6,508 3632%
Coventry National First Health $7,708 4301%
Physicians Cooperative Of Texas $7,954 4439%
Rockport Workers Comp $7,954 4439%
Beech Street $8,677 - $11,569 4842%
Independent Medical System $8,677 4842%
National Healthcare Solutions $8,677 4842%
Prime Health Services $8,677 4842%
Southwest Medical $8,677 4842%
Coastal Comp $9,400 5246%
Fiesta Mart, Inc $10,846 6052%
Physicians, Inc $12,292 6859%
Affiliated Ppo $13,015 7263%
Multiplan $13,015 7263%

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