CMS Price Transparency Data

CT scan, head (with and without contrast)

Facility: Christus Santa Rosa Hospital-San Marcos

Billing Code: 70470 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70470
  • Insurance Median: $239
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.33x Medicare
The contracted insurance negotiated median rate for a CT scan, head (with and without contrast) at Christus Santa Rosa Hospital-San Marcos is $239. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 1.33x the Medicare baseline. Located in 1301 Wonder World Drive, San Marcos, TX.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$239

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%)
Insurance Median: $239 (133%)
Ins. Median: $239 (133% 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
Allwell $173 97%
Christus Health $173 - $242 97%
Humana $173 - $713 97%
Triwest $173 97%
UnitedHealthcare $173 - $1,161 97%
Washington National $173 97%
Wellcare $173 97%
Aetna $176 98%
Cigna $178 - $1,493 99%
Provider Partners Health Plan $178 99%
Shared Health Insurance Company $181 101%
Amerigroup $186 - $239 104%
Devoted Health Plan $186 104%
Community First $227 127%
Blue Cross Blue Shield $232 - $1,039 129%
Texas Childrens Health Plan $239 133%
Superior $261 146%
Sendero $295 165%
Naphcare Inc. $345 193%
Healthcare Highways $436 243%
Community First Health Plan $673 376%
Five Point Credit Union $1,500 837%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1301 Wonder World Drive, San Marcos, TX 78666
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals