CMS Price Transparency Data

CT scan, head (with and without contrast)

Facility: Baylor Scott & White Medical Center Hillcrest

Billing Code: 70470 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70470
Insurance Median: $1,398
Cash Discount Price: $1,783
vs. Medicare Baseline: 7.80x Medicare

The contracted insurance negotiated median rate for a CT scan, head (with and without contrast) at Baylor Scott & White Medical Center Hillcrest is $1,398. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,783. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 7.80x the Medicare baseline. Located in 100 Hillcrest Medical Blvd, Waco, TX.

Cash / Self-Pay

$1,783

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,398

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: $1,783 (995%)

Insurance Median: $1,398 (780%)

Cash: $1,783 (995% of Medicare)

Ins. Median: $1,398 (780% 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 780% of the Medicare baseline (a markup of 680%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
Baylor Scott & White Health Plan	$160 - $1,586	89%
Humana	$168 - $2,080	94%
Triwest	$168	94%
American Health Plan	$176	98%
Blue Cross Blue Shield	$176 - $871	98%
Corvel	$176	98%
Prime Health Services	$176	98%
Procare Advantage	$176	98%
Superior Health Plan	$180	100%
UnitedHealthcare	$193 - $1,747	108%
Injury Management Organization	$209	117%
Sedgwick	$251	140%
Texas Workforce Commission	$980	547%
Imagine Health	$1,373	766%
Cigna	$1,466 - $1,725	818%
Aetna	$1,634	912%
Midcoast	$1,634	912%
Quiktrip	$1,634	912%
University Of Mary Hardin-Baylor	$1,725	963%
Independent Medical System	$1,783	995%
Curative	$1,931	1078%
First Health	$2,080	1161%
Healthsmart	$2,080 - $2,228	1161%
Private Health Care System	$2,228	1243%

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 $1,783.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 70470.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Baylor Scott & White Medical Center Hillcrest is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 70470.
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.