CMS Price Transparency Data

CT scan, head (with contrast)

Facility: Medical Center Hospital

Billing Code: 70460 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70460
Insurance Median: $636
Cash Discount Price: $1,564
vs. Medicare Baseline: 3.55x Medicare

The contracted insurance negotiated median rate for a CT scan, head (with contrast) at Medical Center Hospital is $636. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,564. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 3.55x the Medicare baseline. Located in 500 W 4Th Street, Odessa, TX.

Cash / Self-Pay

$1,564

Average discount available for prompt cash payment at this facility.

Insurance Median

$636

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: $1,564 (873%)

Insurance Median: $636 (355%)

Cash: $1,564 (873% of Medicare)

Ins. Median: $636 (355% 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 355% of the Medicare baseline (a markup of 255%). 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
Corvel Wc	$123 - $145	69%
Medicaid / KanCare	$152 - $160	85%
Superior Chips	$152	85%
UnitedHealthcare	$152 - $2,443	85%
Ambetter / Centene	$159 - $182	89%
Amerigroup	$159	89%
Blue Cross Blue Shield	$159 - $1,050	89%
Community Health Choice	$159	89%
First Care Health Plan	$159	89%
Superior Health Plan	$159	89%
Aetna	$167 - $1,612	93%
Humana	$167	93%
Novitas Solutions	$173	97%
Triwest Va Ccn	$173	97%
Care Improvement Plus	$176	98%
Wellcare By Allwell	$182	102%
Group Resources	$211	118%
Caprock	$310 - $1,173	173%
Healthsmart Preferred Care	$339 - $1,466	189%
Workers Comp	$352	196%
90 Degree Benefits	$543 - $1,173	303%
Health Select	$636 - $1,050	355%
Geha	$700	391%
Firstcare	$850 - $1,710	474%
Cigna	$1,082 - $1,236	604%
State Comptroller	$1,222	682%
Texas Mutual Wc	$1,612	900%

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 $1,564.
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 Medical Center Hospital 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.