CMS Price Transparency Data

CT scan, head (with contrast)

Facility: St David's Medical Center

Billing Code: 70460 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70460
Insurance Median: $907
Cash Discount Price: $2,844
vs. Medicare Baseline: 5.06x Medicare

The contracted insurance negotiated median rate for a CT scan, head (with contrast) at St David's Medical Center is $907. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,844. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 5.06x the Medicare baseline. Located in 919 E 32Nd St, Austin, TX.

Cash / Self-Pay

$2,844

Average discount available for prompt cash payment at this facility.

Insurance Median

$907

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: $2,844 (1587%)

Insurance Median: $907 (506%)

Cash: $2,844 (1587% of Medicare)

Ins. Median: $907 (506% 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 506% of the Medicare baseline (a markup of 406%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Superior Health Plan	$142 - $483	79%
St David’S Hospice	$152	85%
United	$156 - $1,280	87%
Blue Cross Blue Shield	$160 - $907	89%
Molina Healthcare	$168	94%
Humana	$190	106%
Sendero	$190	106%
Aetna	$192 - $2,612	107%
Amerigroup	$210	117%
Imo Med - Select Network	$853	476%
Texas Healthcare Foundation Heb	$1,052	587%
Texas Workforce Commission	$1,109	619%
Averde Health	$1,280	714%
Comanche County	$1,422	794%
National Choicecare	$1,422	794%
Healthsmart Preferred Care	$1,564 - $2,275	873%
Independent Medical Systems	$1,564	873%
Physicians Cooperative Of Texas	$1,564	873%
Prime Health	$1,706	952%
First Health	$1,792 - $2,045	1000%
Coastal Comp Health Networks	$1,849	1032%
National Health Care	$1,849	1032%
Texas Municipal League	$1,991	1111%
Medcorp Southwest	$2,133	1190%
Rockport Healthcare Group	$2,275 - $2,560	1270%
Bce Emergis Corporation	$2,560	1429%
Beech Street	$2,560	1429%
Medical Control Network Solutions	$2,560	1429%
Multiplan	$2,560	1429%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $2,844.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 70460.

Insurance In-Network Protection Plan

Contact your insurance company to confirm St David's Medical Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 70460.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.