CMS Price Transparency Data

CT scan, head (no contrast)

Facility: HCA Houston Healthcare West

Billing Code: 70450 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70450
  • Insurance Median: $1,024
  • Cash Discount Price: $13,743
  • vs. Medicare Baseline: 9.59x Medicare
The contracted insurance negotiated median rate for a CT scan, head (no contrast) at HCA Houston Healthcare West is $1,024. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $13,743. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 9.59x the Medicare baseline. Located in 12141 Richmond Ave, Houston, TX.
Cash / Self-Pay
$13,743

Average discount available for prompt cash payment at this facility.

Insurance Median
$1,024

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: $13,743 (12867%)
Insurance Median: $1,024 (959%)
Cash: $13,743 (12867% of Medicare)
Ins. Median: $1,024 (959% 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 959% of the Medicare baseline (a markup of 859%). 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
Texas Health Network $103 96%
Amerigroup $105 98%
Texas Childrens Health Plans $105 - $2,281 98%
Community Health Choice Mcd $107 100%
United $109 - $6,184 102%
Aetna $115 - $1,301 108%
Molina Healthcare $115 108%
Humana $131 - $1,285 123%
Blue Cross Blue Shield $224 - $4,810 210%
Superior Health Plan $825 772%
Cigna $1,635 - $10,994 1531%
Texas Workforce Commission $3,298 3088%
Christus (Usfhp) $5,497 5147%
Healthsmart Preferred Care $5,909 - $11,682 5532%
Fidelis Securecare Of Tx $6,184 5790%
Coventry National First Health $7,325 6858%
Physicians Cooperative Of Texas $7,559 7077%
Rockport Workers Comp $7,559 7077%
Independent Medical System $8,246 7720%
National Healthcare Solutions $8,246 7720%
Southwest Medical $8,246 7720%
Triumph $8,246 7720%
Coastal Comp $8,933 8363%
Multiplan $10,307 - $11,682 9650%
Physicians, Inc $11,682 10937%
Affiliated Ppo $12,369 11580%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 12141 Richmond Ave, Houston, TX 77082
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals