CMS Price Transparency Data

CT scan, head (with contrast)

Facility: Nacogdoches Memorial Hospital

Billing Code: 70460 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70460
Insurance Median: $2,274
Cash Discount Price: $1,240
vs. Medicare Baseline: 12.69x Medicare

The contracted insurance negotiated median rate for a CT scan, head (with contrast) at Nacogdoches Memorial Hospital is $2,274. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,240. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 12.69x the Medicare baseline. Located in 1204 Mound St, Nacogdoches, TX.

Cash / Self-Pay

$1,240

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,274

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: $1,240 (692%)

Insurance Median: $2,274 (1269%)

Cash: $1,240 (692% of Medicare)

Ins. Median: $2,274 (1269% 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 1269% of the Medicare baseline (a markup of 1169%). 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
Blue Cross Blue Shield	$167 - $3,307	93%
Humana	$170	95%
Wellmed	$170 - $4,134	95%
Healthspring	$179	100%
Molina	$179 - $4,134	100%
Galaxy	$198 - $2,687	110%
Usa Health Network	$228 - $3,101	127%
Aetna	$243 - $3,307	136%
Healthsmart	$243 - $3,307	136%
Phcs	$243 - $3,307	136%
Hiet Benefit Plan	$304 - $4,134	170%
UnitedHealthcare	$391	218%

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 $1,240.
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 Nacogdoches Memorial Hospital 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.