CMS Price Transparency Data

CT scan, head (no contrast)

Facility: Northwest Texas Hospital

Billing Code: 70450 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70450
Insurance Median: $1,376
Cash Discount Price: $2,453
vs. Medicare Baseline: 12.88x Medicare

The contracted insurance negotiated median rate for a CT scan, head (no contrast) at Northwest Texas Hospital is $1,376. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,453. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 12.88x the Medicare baseline. Located in 1501 S Coulter St, Amarillo, TX.

Cash / Self-Pay

$2,453

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,376

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$106.81

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $106.81 (100%)

Cash / Self-Pay: $2,453 (2297%)

Insurance Median: $1,376 (1288%)

Cash: $2,453 (2297% of Medicare)

Ins. Median: $1,376 (1288% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $106.81 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 1288% of the Medicare baseline (a markup of 1188%). 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
Molina	$32	30%
First_Care_Star	$110	103%
First_Carestar	$110	103%
Superior	$110	103%
Amerigroup	$137	128%
United_Healthcare	$748 - $1,619	700%
Aetna	$853 - $1,846	799%
Scott_And_White _Healthplan	$1,047 - $2,265	980%
Scott_And_White_Healthplan	$1,047 - $2,265	980%
Cigna	$1,376 - $2,978	1288%
Health_Smart	$2,330 - $5,043	2181%
Multiplan	$3,101 - $6,712	2903%

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 $2,453.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 70450.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Northwest Texas Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 70450.
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.