CMS Price Transparency Data

CT scan, head (with and without contrast)

Facility: St David's Medical Center

Billing Code: 70470 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70470
  • Insurance Median: $1,133
  • Cash Discount Price: $3,552
  • vs. Medicare Baseline: 6.32x Medicare
The contracted insurance negotiated median rate for a CT scan, head (with and without contrast) at St David's Medical Center is $1,133. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,552. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 6.32x the Medicare baseline. Located in 919 E 32Nd St, Austin, TX.
Cash / Self-Pay
$3,552

Average discount available for prompt cash payment at this facility.

Insurance Median
$1,133

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: $3,552 (1982%)
Insurance Median: $1,133 (632%)
Cash: $3,552 (1982% of Medicare)
Ins. Median: $1,133 (632% 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 632% of the Medicare baseline (a markup of 532%). 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 $175 98%
Superior Health Plan $178 - $604 99%
Blue Cross Blue Shield $184 - $1,133 103%
United $184 - $1,598 103%
Molina Healthcare $193 108%
Humana $219 122%
Sendero $219 122%
Aetna $221 - $2,612 123%
Amerigroup $256 143%
Imo Med - Select Network $1,066 595%
Texas Healthcare Foundation Heb $1,314 733%
Texas Workforce Commission $1,385 773%
Averde Health $1,598 892%
Comanche County $1,776 991%
National Choicecare $1,776 991%
Healthsmart Preferred Care $1,954 - $2,842 1090%
Independent Medical Systems $1,954 1090%
Physicians Cooperative of Texas $1,954 1090%
Prime Health $2,131 1189%
First Health $2,238 - $2,554 1249%
Coastal Comp Health Networks $2,309 1289%
National Health Care $2,309 1289%
Texas Municipal League $2,486 1387%
Medcorp Southwest $2,664 1487%
Rockport Healthcare Group $2,842 - $3,197 1586%
Bce Emergis Corporation $3,197 1784%
Beech Street $3,197 1784%
Medical Control Network Solutions $3,197 1784%
Multiplan $3,197 1784%

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