CMS Price Transparency Data

CT scan, head (with and without contrast)

Facility: Texas Health Harris Methodist Hospital Cleburne

Billing Code: 70470 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70470
Insurance Median: $1,222
Cash Discount Price: $2,721
vs. Medicare Baseline: 6.82x Medicare

The contracted insurance negotiated median rate for a CT scan, head (with and without contrast) at Texas Health Harris Methodist Hospital Cleburne is $1,222. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,721. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 6.82x the Medicare baseline. Located in 201 Walls Drive, Cleburne, TX.

Cash / Self-Pay

$2,721

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,222

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: $2,721 (1518%)

Insurance Median: $1,222 (682%)

Cash: $2,721 (1518% of Medicare)

Ins. Median: $1,222 (682% 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 682% of the Medicare baseline (a markup of 582%). 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
American Health	$170	95%
Blue Cross Blue Shield	$170 - $1,292	95%
Healthspring	$173	97%
Amerigroup	$175 - $178	98%
Cook Childrens	$175	98%
UnitedHealthcare	$175 - $1,458	98%
Humana	$177	99%
Molina	$178 - $189	99%
Superior Wellcare	$178 - $187	99%
Aetna	$193 - $3,179	108%
Fort Worth Firefighters	$963 - $2,768	537%
Cigna	$1,792 - $4,267	1000%
City Of Fort Worth	$2,131	1189%
Quick Trip	$3,220	1797%
Phcs	$3,791	2116%
Healthsmart	$3,945 - $4,353	2201%
Multiplan	$3,945	2201%
Galaxy	$3,990	2227%
Usa	$3,990	2227%

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 $2,721.
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 Texas Health Harris Methodist Hospital Cleburne 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.