CMS Price Transparency Data

CT scan, head (no contrast)

Facility: Medical City Plano

Billing Code: 70450 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70450
  • Insurance Median: $1,644
  • Cash Discount Price: $7,242
  • vs. Medicare Baseline: 15.39x Medicare
The contracted insurance negotiated median rate for a CT scan, head (no contrast) at Medical City Plano is $1,644. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $7,242. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 15.39x the Medicare baseline. Located in 3901 W 15Th St, Plano, TX.
Cash / Self-Pay
$7,242

Average discount available for prompt cash payment at this facility.

Insurance Median
$1,644

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: $7,242 (6780%)
Insurance Median: $1,644 (1539%)
Cash: $7,242 (6780% of Medicare)
Ins. Median: $1,644 (1539% 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 1539% of the Medicare baseline (a markup of 1439%). 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
Amerigroup $105 98%
United $105 - $1,567 98%
Cigna $110 - $1,261 103%
Aetna $113 - $5,448 106%
Molina $115 - $117 108%
Parkland Community Health Plan $115 108%
Humana $131 - $295 123%
Blue Cross Blue Shield $141 - $3,998 132%
Imaging Providers Of Texas $350 328%
Superior Health Plan $383 - $630 359%
Lifecare Hospitals $1,644 - $2,702 1539%
Healthcare Highways $1,852 - $3,044 1734%
Prominence Health Plan $2,191 - $3,602 2051%
City Of Mckinney $2,465 - $4,052 2308%
Fidelis Securecare $2,465 - $4,052 2308%
National Choicecare $2,739 - $4,503 2564%
Pc Texas Partners $3,013 - $4,953 2821%
Physicians Coop Of Tx $3,013 - $4,953 2821%
Rockport Health Group $3,013 - $4,953 2821%
Averde Health, Inc $3,178 - $5,223 2975%
Texas Healthcare Foundation Wc $3,561 - $5,853 3334%
Coastal Comp Health Networks $3,835 - $6,304 3590%
Mega Life $3,835 - $6,304 3590%
Healthsmart Preferred Care $4,109 - $6,754 3847%
Lewisville Isd/Dls Consulting $4,109 - $6,754 3847%
Usa Managed Care $4,383 - $7,204 4104%
Usc Health Services $4,383 - $7,204 4104%
Galaxy Health Network $4,657 - $7,654 4360%
Independent Medical Systems $5,478 - $9,005 5129%
National Healthcare Solutions $5,478 - $9,005 5129%
Unicare $5,478 - $9,005 5129%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3901 W 15Th St, Plano, TX 75075
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals