CMS Price Transparency Data

CT scan, head (with contrast)

Facility: Medical Center of McKinney

Billing Code: 70460 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70460
  • Insurance Median: $709
  • Cash Discount Price: $9,263
  • vs. Medicare Baseline: 3.96x Medicare
The contracted insurance negotiated median rate for a CT scan, head (with contrast) at Medical Center of McKinney is $709. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $9,263. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 3.96x the Medicare baseline. Located in 4500 Medical Center Drive, McKinney, TX.
Cash / Self-Pay
$9,263

Average discount available for prompt cash payment at this facility.

Insurance Median
$709

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: $9,263 (5169%)
Insurance Median: $709 (396%)
Cash: $9,263 (5169% of Medicare)
Ins. Median: $709 (396% 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 396% of the Medicare baseline (a markup of 296%). 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 $152 85%
Parkland Community Health Plan $152 85%
United $152 - $1,732 85%
Cigna $160 - $7,410 89%
Aetna $165 - $6,734 92%
Molina $168 - $171 94%
Humana $190 - $6,021 106%
Blue Cross Blue Shield $230 - $4,113 128%
Imaging Providers Of Texas $350 195%
Superior Health Plan $648 362%
Unicare $2,408 - $9,263 1344%
Healthcare Highways $3,131 1747%
Fidelis Securecare $4,168 2326%
National Choicecare $4,632 2585%
Pc Texas Partners $5,095 2843%
Physicians Coop Of Tx $5,095 2843%
Rockport Health Group $5,095 2843%
Averde Health, Inc $5,373 2998%
Magellan Bh $5,558 3102%
Value Options Behavioral Health $5,558 3102%
Coastal Comp Health Networks $6,484 3618%
Mega Life $6,484 3618%
Lewisville Isd/Dls Consulting $6,947 3877%
Healthsmart Preferred Care $7,410 4135%
Usa Managed Care $7,410 4135%
Galaxy Health Network $7,874 4394%
Independent Medical Systems $9,263 5169%
National Healthcare Solutions $9,263 5169%

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