CMS Price Transparency Data

CT scan, head (with and without contrast)

Facility: Texas Health Presbyterian Hospital Kaufman

Billing Code: 70470 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70470
  • Insurance Median: $1,257
  • Cash Discount Price: $2,721
  • vs. Medicare Baseline: 7.01x Medicare
The contracted insurance negotiated median rate for a CT scan, head (with and without contrast) at Texas Health Presbyterian Hospital Kaufman is $1,257. 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 7.01x the Medicare baseline. Located in 850 Ed Hall, Kaufman, TX.
Cash / Self-Pay
$2,721

Average discount available for prompt cash payment at this facility.

Insurance Median
$1,257

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: $1,257 (701%)
Cash: $2,721 (1518% of Medicare)
Ins. Median: $1,257 (701% 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 701% of the Medicare baseline (a markup of 601%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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
Amerigroup $175 - $185 98%
Blue Cross Blue Shield $175 - $1,292 98%
Parkland $175 98%
UnitedHealthcare $175 - $1,458 98%
American Health $176 98%
Healthspring $180 100%
Humana $183 102%
Superior Wellcare $184 - $194 103%
Molina $185 - $189 103%
Aetna $916 - $3,179 511%
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

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 850 Ed Hall, Kaufman, TX 75142
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals