CMS Price Transparency Data

CT scan, head (no contrast)

Facility: St David's Medical Center

Billing Code: 70450 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70450
  • Insurance Median: $757
  • Cash Discount Price: $2,374
  • vs. Medicare Baseline: 7.09x Medicare
The contracted insurance negotiated median rate for a CT scan, head (no contrast) at St David's Medical Center is $757. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,374. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 7.09x the Medicare baseline. Located in 919 E 32Nd St, Austin, TX.
Cash / Self-Pay
$2,374

Average discount available for prompt cash payment at this facility.

Insurance Median
$757

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$106.81

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $106.81 (100%)
Cash / Self-Pay: $2,374 (2223%)
Insurance Median: $757 (709%)
Cash: $2,374 (2223% of Medicare)
Ins. Median: $757 (709% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $106.81 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 709% of the Medicare baseline (a markup of 609%). 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
St David’S Hospice $105 98%
United $109 - $1,068 102%
Blue Cross Blue Shield $110 - $757 103%
Molina Healthcare $115 108%
Superior Health Plan $119 - $404 111%
Humana $131 123%
Sendero $131 123%
Aetna $132 - $2,612 124%
Amerigroup $171 160%
Imo Med - Select Network $712 667%
Texas Healthcare Foundation Heb $878 822%
Texas Workforce Commission $926 867%
Averde Health $1,068 1000%
Comanche County $1,187 1111%
National Choicecare $1,187 1111%
Healthsmart Preferred Care $1,306 - $1,899 1223%
Independent Medical Systems $1,306 1223%
Physicians Cooperative Of Texas $1,306 1223%
Prime Health $1,424 1333%
First Health $1,496 - $1,707 1401%
Coastal Comp Health Networks $1,543 1445%
National Health Care $1,543 1445%
Texas Municipal League $1,662 1556%
Medcorp Southwest $1,780 1667%
Rockport Healthcare Group $1,899 - $2,137 1778%
Bce Emergis Corporation $2,137 2001%
Beech Street $2,137 2001%
Medical Control Network Solutions $2,137 2001%
Multiplan $2,137 2001%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 919 E 32Nd St, Austin, TX 78705
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals