CMS Price Transparency Data

CT scan, head (with and without contrast)

Facility: The Medical Center of Southeast Texas

Billing Code: 70470 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70470
  • Insurance Median: $298
  • Cash Discount Price: $6,091
  • vs. Medicare Baseline: 1.66x Medicare
The contracted insurance negotiated median rate for a CT scan, head (with and without contrast) at The Medical Center of Southeast Texas is $298. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $6,091. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 1.66x the Medicare baseline. Located in 2555 Jimmy Johnson Blvd, Port Arthur, TX.
Cash / Self-Pay
$6,091

Average discount available for prompt cash payment at this facility.

Insurance Median
$298

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: $6,091 (3399%)
Insurance Median: $298 (166%)
Cash: $6,091 (3399% of Medicare)
Ins. Median: $298 (166% 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.

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
Medsolutions $144 80%
Humana $154 - $1,427 86%
Amerigroup $160 - $298 89%
Healthspring $160 89%
Medicare (plans) $160 89%
Provider Partners Health Plan $160 89%
Selectcare $160 89%
Superior Healthplan $160 - $325 89%
Tihp (Texas Independence Health Plan) $160 89%
UnitedHealthcare $160 - $860 89%
Caresact $163 91%
Employer Direct Healthcare $163 - $206 91%
Hospice $163 91%
Molina Healthcare $163 - $219 91%
Rice Land Hospice $163 91%
Texas Medical Management Partners $163 - $206 91%
Tricare $163 91%
Triwest $163 91%
Cccn Pro Advantage $168 94%
Wellcare Of Texas $168 94%
Blue Cross Blue Shield $170 - $2,515 95%
League Medical Concepts $176 - $178 98%
Wellpath $179 100%
Harbor Hospice $180 100%
Medicaid / KanCare $180 - $929 100%
Texas Childrens Health Plan $180 - $482 100%
Community Health Choice $189 - $195 105%
Community Health Choice Uhrip $189 105%
Beacon Health $207 116%
Corporate Remedies $240 134%
Elap Services $315 176%
Texas Workers Compensation $325 181%
Aetna $475 - $875 265%
Cigna $560 - $4,263 313%
Iasis Employees $729 407%
Self Pay Emergent $914 510%
Dept Of Assistive And Rehabilitative Services $3,045 1699%
Magellan Behavioral Health $3,654 2039%
First Health $4,020 2243%
Galaxy Health Network $4,263 2379%
Private Healthcare Systems $4,263 2379%
Texas Municipal League $4,263 2379%
Healthsmart $4,568 2549%
Multiplan $4,872 2719%
Commercial Non-Contracted $6,091 3399%
Heart To Heart Hospice $6,091 3399%
Lifesynch $6,091 3399%
Mhnet $6,091 3399%
Self Pay - Mcd Pending 100 Percent $6,091 3399%
Single Case Agreement $6,091 3399%
United Behavioral Health $6,091 3399%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2555 Jimmy Johnson Blvd, Port Arthur, TX 77640
  • CMS Rating: ★★★☆☆
  • Ownership Type: Physician
  • Hospital Type: Acute Care Hospitals