CMS Price Transparency Data

CT scan, head (with contrast)

Facility: Shannon Medical Center

Billing Code: 70460 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70460
Insurance Median: $756
Cash Discount Price: $2,130
vs. Medicare Baseline: 4.22x Medicare

The contracted insurance negotiated median rate for a CT scan, head (with contrast) at Shannon Medical Center is $756. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,130. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 4.22x the Medicare baseline. Located in 120 E Harris Ave., San Angelo, TX.

Cash / Self-Pay

$2,130

Average discount available for prompt cash payment at this facility.

Insurance Median

$756

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: $2,130 (1189%)

Insurance Median: $756 (422%)

Cash: $2,130 (1189% of Medicare)

Ins. Median: $756 (422% 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 422% of the Medicare baseline (a markup of 322%). 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
Molina Healthcare - Chip	$161	90%
Care Improvement	$167	93%
Humana	$167 - $3,408	93%
Wellmed	$167	93%
Wellpoint	$167 - $226	93%
Scott & White	$267 - $301	149%
Insurance Management Services	$272	152%
Insurance Services Of Lubbock	$272	152%
Cigna	$326 - $3,067	182%
Kempton Group	$334	186%
Pdh/Texas Trust	$334	186%
Ambetter / Centene	$359	200%
90 Degree Benefits	$418	233%
Caprock	$418	233%
City Of San Angelo	$592	330%
Blue Cross Blue Shield	$716 - $3,195	400%
Web Tpa	$1,917	1070%
Aetna	$2,812	1569%
Assurant Health	$2,812	1569%
First Health	$3,195	1783%
UnitedHealthcare	$3,323	1854%
Healthsmart	$3,791	2116%

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 $2,130.
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 Shannon 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.