CMS Price Transparency Data

CT scan, head (with contrast)

Facility: Dell Seton Med Center at the University of Tx

Billing Code: 70460 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70460
Insurance Median: $154
Cash Discount Price: $1,474
vs. Medicare Baseline: 0.86x Medicare

The contracted insurance negotiated median rate for a CT scan, head (with contrast) at Dell Seton Med Center at the University of Tx is $154. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,474. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 0.86x the Medicare baseline. Located in 601 E 15Th Street, Austin, TX.

Cash / Self-Pay

$1,474

Average discount available for prompt cash payment at this facility.

Insurance Median

$154

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: $1,474 (823%)

Insurance Median: $154 (86%)

Cash: $1,474 (823% of Medicare)

Ins. Median: $154 (86% 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
Champva	$110 - $158	61%
Ambetter / Centene	$153	85%
Blue Cross Blue Shield	$153 - $815	85%
Dell Chip/Chip Perinate	$153 - $154	85%
Dell Star	$153 - $154	85%
UnitedHealthcare	$153 - $154	85%
Wellpoint Chip/Chip Perinate	$153	85%
Wellpoint Star	$153 - $154	85%
Wellpoint Star Kids	$153	85%
Wellpoint Star Plus	$153 - $154	85%
Humana	$188	105%
Tricare	$229	128%
Seton Performance Plus	$635	354%
Aetna	$728 - $1,345	406%
Covenant Health	$1,026	573%
Cigna	$1,610	898%
Superior Star	$1,637	914%
Superior Star Foster	$1,637	914%
Superior Star Kids	$1,637	914%
Superior Star Plus	$1,637	914%
Superior Chip/Chip Perinate	$1,842	1028%

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 $1,474.
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 Dell Seton Med Center at the University of Tx 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.