CMS Price Transparency Data

CT scan, head (with and without contrast)

Facility: HCA Houston Healthcare West

Billing Code: 70470 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70470
  • Insurance Median: $1,115
  • Cash Discount Price: $18,583
  • vs. Medicare Baseline: 6.22x Medicare
The contracted insurance negotiated median rate for a CT scan, head (with and without contrast) at HCA Houston Healthcare West is $1,115. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $18,583. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 6.22x the Medicare baseline. Located in 12141 Richmond Ave, Houston, TX.
Cash / Self-Pay
$18,583

Average discount available for prompt cash payment at this facility.

Insurance Median
$1,115

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: $18,583 (10370%)
Insurance Median: $1,115 (622%)
Cash: $18,583 (10370% of Medicare)
Ins. Median: $1,115 (622% 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 622% of the Medicare baseline (a markup of 522%). 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 $172 96%
Amerigroup $175 98%
Texas Childrens Health Plans $175 - $3,085 98%
Community Health Choice Mcd $180 100%
United $184 - $8,362 103%
Molina Healthcare $193 108%
Aetna $195 - $1,301 109%
Humana $219 - $2,242 122%
Blue Cross Blue Shield $364 - $6,504 203%
Superior Health Plan $1,115 622%
Cigna $1,635 - $14,866 912%
Texas Workforce Commission $4,460 2489%
Christus (Usfhp) $7,433 4148%
Healthsmart Preferred Care $7,991 - $15,796 4459%
Fidelis Securecare Of Tx $8,362 4666%
Coventry National First Health $9,905 5527%
Physicians Cooperative Of Texas $10,221 5704%
Rockport Workers Comp $10,221 5704%
Independent Medical System $11,150 6222%
National Healthcare Solutions $11,150 6222%
Southwest Medical $11,150 6222%
Triumph $11,150 6222%
Coastal Comp $12,079 6741%
Multiplan $13,937 - $15,796 7777%
Physicians, Inc $15,796 8815%
Affiliated Ppo $16,725 9333%

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