CMS Price Transparency Data

CT scan, head (with and without contrast)

Facility: Medical Center of McKinney

Billing Code: 70470 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70470
  • Insurance Median: $856
  • Cash Discount Price: $12,834
  • vs. Medicare Baseline: 4.78x Medicare
The contracted insurance negotiated median rate for a CT scan, head (with and without contrast) at Medical Center of McKinney is $856. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $12,834. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 4.78x the Medicare baseline. Located in 4500 Medical Center Drive, McKinney, TX.
Cash / Self-Pay
$12,834

Average discount available for prompt cash payment at this facility.

Insurance Median
$856

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: $12,834 (7162%)
Insurance Median: $856 (478%)
Cash: $12,834 (7162% of Medicare)
Ins. Median: $856 (478% 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 478% of the Medicare baseline (a markup of 378%). 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 98%
Parkland Community Health Plan $175 98%
United $175 - $2,400 98%
Cigna $184 - $10,267 103%
Aetna $189 - $9,330 105%
Molina $193 - $196 108%
Humana $219 - $8,342 122%
Blue Cross Blue Shield $230 - $5,698 128%
Imaging Providers Of Texas $350 195%
Superior Health Plan $898 501%
Unicare $3,337 - $12,834 1862%
Healthcare Highways $4,338 2421%
Fidelis Securecare $5,775 3223%
National Choicecare $6,417 3581%
Pc Texas Partners $7,059 3939%
Physicians Coop Of Tx $7,059 3939%
Rockport Health Group $7,059 3939%
Averde Health, Inc $7,444 4154%
Magellan Bh $7,700 4297%
Value Options Behavioral Health $7,700 4297%
Coastal Comp Health Networks $8,984 5013%
Mega Life $8,984 5013%
Lewisville Isd/Dls Consulting $9,625 5371%
Healthsmart Preferred Care $10,267 5729%
Usa Managed Care $10,267 5729%
Galaxy Health Network $10,909 6088%
Independent Medical Systems $12,834 7162%
National Healthcare Solutions $12,834 7162%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 4500 Medical Center Drive, McKinney, TX 75069
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals