CMS Price Transparency Data

CT scan, head (no contrast)

Facility: Lake Granbury Medical Center

Billing Code: 70450 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70450
  • Insurance Median: $528
  • Cash Discount Price: $977
  • vs. Medicare Baseline: 4.94x Medicare
The contracted insurance negotiated median rate for a CT scan, head (no contrast) at Lake Granbury Medical Center is $528. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $977. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 4.94x the Medicare baseline. Located in 1310 Paluxy Rd, Granbury, TX.
Cash / Self-Pay
$977

Average discount available for prompt cash payment at this facility.

Insurance Median
$528

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$106.81

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $106.81 (100%)
Cash / Self-Pay: $977 (915%)
Insurance Median: $528 (494%)
Cash: $977 (915% of Medicare)
Ins. Median: $528 (494% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $106.81 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 494% of the Medicare baseline (a markup of 394%). 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
Self Pay $70 - $1,003 66%
Tricare $100 94%
Veterans Eval Services $101 95%
Node Champva $105 98%
Cigna $113 - $3,593 106%
Humana $113 106%
Medicare (plans) $113 106%
UnitedHealthcare $113 - $3,876 106%
Aetna $115 - $6,265 108%
Blue Cross Blue Shield $115 - $2,298 108%
Hospice Non Par $115 108%
Node Care N Care $115 108%
Node Va $115 108%
Triwest $115 108%
American Health $117 110%
Node Amerigroup Mcr Adv $118 110%
Provider Partners Health Plan $118 110%
Superior $118 - $314 110%
Medicaid / KanCare $132 - $4,688 124%
Healthspring $139 130%
Node Us Dept Of Labor $143 134%
Amerigroup $166 - $1,302 155%
Node Brookshire Brothers $200 187%
93% Payors Work Comp Tx $213 199%
Node Brookshire Brothers Work Comp Tx $213 199%
Work Comp $229 214%
Healthsmart $638 - $6,383 597%
Multiplan $870 - $8,025 815%
Santa Fe Hospital Association $928 - $7,295 869%
Galaxy Health $1,102 - $8,663 1032%
Medcorp Southwest $1,102 - $8,663 1032%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1310 Paluxy Rd, Granbury, TX 76048
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals