CMS Price Transparency Data

CT scan, head (with and without contrast)

Facility: Medical City Plano

Billing Code: 70470 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70470
  • Insurance Median: $2,391
  • Cash Discount Price: $8,086
  • vs. Medicare Baseline: 13.34x Medicare
The contracted insurance negotiated median rate for a CT scan, head (with and without contrast) at Medical City Plano is $2,391. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $8,086. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 13.34x the Medicare baseline. Located in 3901 W 15Th St, Plano, TX.
Cash / Self-Pay
$8,086

Average discount available for prompt cash payment at this facility.

Insurance Median
$2,391

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: $8,086 (4512%)
Insurance Median: $2,391 (1334%)
Cash: $8,086 (4512% of Medicare)
Ins. Median: $2,391 (1334% 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 1334% of the Medicare baseline (a markup of 1234%). 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 $175 98%
United $175 - $1,427 98%
Cigna $184 - $1,148 103%
Aetna $189 - $4,962 105%
Molina $193 - $196 108%
Parkland Community Health Plan $193 108%
Humana $219 - $514 122%
Blue Cross Blue Shield $230 - $3,641 128%
Imaging Providers Of Texas $350 195%
Superior Health Plan $558 - $574 311%
Lifecare Hospitals $2,391 - $2,460 1334%
Healthcare Highways $2,694 - $2,772 1503%
Prominence Health Plan $3,188 - $3,280 1779%
City Of Mckinney $3,587 - $3,690 2002%
Fidelis Securecare $3,587 - $3,690 2002%
National Choicecare $3,985 - $4,101 2224%
Pc Texas Partners $4,384 - $4,511 2446%
Physicians Coop Of Tx $4,384 - $4,511 2446%
Rockport Health Group $4,384 - $4,511 2446%
Averde Health, Inc $4,623 - $4,757 2580%
Texas Healthcare Foundation Wc $5,181 - $5,331 2891%
Coastal Comp Health Networks $5,580 - $5,741 3114%
Mega Life $5,580 - $5,741 3114%
Healthsmart Preferred Care $5,978 - $6,151 3336%
Lewisville Isd/Dls Consulting $5,978 - $6,151 3336%
Usa Managed Care $6,377 - $6,561 3559%
Usc Health Services $6,377 - $6,561 3559%
Galaxy Health Network $6,775 - $6,971 3781%
Independent Medical Systems $7,971 - $8,201 4448%
National Healthcare Solutions $7,971 - $8,201 4448%
Unicare $7,971 - $8,201 4448%

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