CMS Price Transparency Data

CT scan, head (with and without contrast)

Facility: Mission Regional Medical Center

Billing Code: 70470 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70470
  • Insurance Median: $267
  • Cash Discount Price: $175
  • vs. Medicare Baseline: 1.49x Medicare
The contracted insurance negotiated median rate for a CT scan, head (with and without contrast) at Mission Regional Medical Center is $267. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $175. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 1.49x the Medicare baseline. Located in 900 South Bryan Road, Mission, TX.
Cash / Self-Pay
$175

Average discount available for prompt cash payment at this facility.

Insurance Median
$267

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: $175 (98%)
Insurance Median: $267 (149%)
Cash: $175 (98% of Medicare)
Ins. Median: $267 (149% 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.

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
Aetna $175 98%
Blue Cross Blue Shield $175 - $738 98%
Cigna $175 - $756 98%
Medicare (plans) $175 98%
Superior Health Plan $175 - $355 98%
Tricare $175 98%
UnitedHealthcare $175 - $780 98%
Wellmed $175 98%
Worker Comp $175 98%
Molina $184 - $377 103%
Imperial Insurance Companies $186 104%
Employer Direct Healthcare $228 127%
Frontier Health (Fka Asserta Health) $228 127%
Magic Valley Electric Cooperative $228 127%
Corporate Remedies $263 147%
Naphcare $272 152%
Medicaid / KanCare $327 - $338 182%
Baker Benefits Administrators $351 196%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 900 South Bryan Road, Mission, TX 78572
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals