CMS Price Transparency Data

CT scan, head (with and without contrast)

Facility: Lake Granbury Medical Center

Billing Code: 70470 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70470
  • Insurance Median: $786
  • Cash Discount Price: $1,319
  • vs. Medicare Baseline: 4.39x Medicare
The contracted insurance negotiated median rate for a CT scan, head (with and without contrast) at Lake Granbury Medical Center is $786. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,319. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 4.39x the Medicare baseline. Located in 1310 Paluxy Rd, Granbury, TX.
Cash / Self-Pay
$1,319

Average discount available for prompt cash payment at this facility.

Insurance Median
$786

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: $1,319 (736%)
Insurance Median: $786 (439%)
Cash: $1,319 (736% of Medicare)
Ins. Median: $786 (439% 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 439% of the Medicare baseline (a markup of 339%). 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 $98 - $1,342 55%
Tricare $167 93%
Veterans Eval Services $168 94%
Node Champva $176 98%
Cigna $189 - $4,805 105%
Humana $189 105%
Medicare (plans) $189 105%
UnitedHealthcare $189 - $5,185 105%
Hospice Non Par $192 107%
Node Va $192 107%
Triwest $192 107%
Aetna $193 - $8,379 108%
Blue Cross Blue Shield $193 - $3,073 108%
Node Care N Care $193 108%
American Health $197 110%
Node Amerigroup Mcr Adv $198 110%
Provider Partners Health Plan $198 110%
Superior $198 - $526 110%
Medicaid / KanCare $221 - $6,270 123%
Healthspring $232 129%
Amerigroup $234 - $1,742 131%
Node Us Dept Of Labor $240 134%
Node Brookshire Brothers $336 188%
93% Payors Work Comp Tx $357 199%
Node Brookshire Brothers Work Comp Tx $357 199%
Work Comp $384 214%
Healthsmart $901 - $8,537 503%
Multiplan $1,228 - $10,732 685%
Santa Fe Hospital Association $1,310 - $9,757 731%
Galaxy Health $1,556 - $11,586 868%
Medcorp Southwest $1,556 - $11,586 868%

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