CMS Price Transparency Data

CT scan, head (with and without contrast)

Facility: HCA Houston Healthcare Conroe

Billing Code: 70470 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70470
Insurance Median: $1,301
Cash Discount Price: $12,060
vs. Medicare Baseline: 7.26x Medicare

The contracted insurance negotiated median rate for a CT scan, head (with and without contrast) at HCA Houston Healthcare Conroe is $1,301. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $12,060. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 7.26x the Medicare baseline. Located in 504 Medical Center Blvd, Conroe, TX.

Cash / Self-Pay

$12,060

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,301

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: $12,060 (6730%)

Insurance Median: $1,301 (726%)

Cash: $12,060 (6730% of Medicare)

Ins. Median: $1,301 (726% 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 726% of the Medicare baseline (a markup of 626%). 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
Texas Health Network	$172	96%
Amerigroup	$175	98%
Liberty County Indigent	$175	98%
Texas Childrens Health Plans	$175 - $3,577	98%
Community Health Choice Mcd	$180	100%
United	$184 - $7,889	103%
Molina Healthcare	$193	108%
Aetna	$195 - $1,301	109%
Humana	$219 - $2,242	122%
Blue Cross Blue Shield	$392 - $6,136	219%
Superior Health Plan	$395 - $1,052	220%
Tx Workforce Commission	$1,581 - $4,208	882%
Cigna	$1,635 - $2,106	912%
Christus (Usfhp)	$2,635 - $7,013	1470%
Healthsmart Preferred Care	$2,833 - $14,902	1581%
Fidelis Securecare Of Tx	$2,964 - $7,889	1654%
Coventry National First Health	$3,511 - $9,345	1959%
Physicians Cooperative Of Texas	$3,623 - $9,643	2022%
Rockport Workers Comp	$3,623 - $9,643	2022%
Independent Medical System	$3,952 - $10,519	2205%
National Healthcare Solutions	$3,952 - $10,519	2205%
Southwest Medical	$3,952 - $10,519	2205%
Coastal Comp	$4,282 - $11,396	2390%
Multiplan	$4,940 - $14,902	2757%
Physicians, Inc	$5,599 - $14,902	3124%
Affiliated Ppo	$5,929 - $15,779	3309%

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 $12,060.
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 HCA Houston Healthcare Conroe 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.