CMS Price Transparency Data

CT scan, head (with contrast)

Facility: Medical City Plano

Billing Code: 70460 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70460
  • Insurance Median: $726
  • Cash Discount Price: $6,707
  • vs. Medicare Baseline: 4.05x Medicare
The contracted insurance negotiated median rate for a CT scan, head (with contrast) at Medical City Plano is $726. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $6,707. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 4.05x the Medicare baseline. Located in 3901 W 15Th St, Plano, TX.
Cash / Self-Pay
$6,707

Average discount available for prompt cash payment at this facility.

Insurance Median
$726

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: $6,707 (3743%)
Insurance Median: $726 (405%)
Cash: $6,707 (3743% of Medicare)
Ins. Median: $726 (405% 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 405% of the Medicare baseline (a markup of 305%). 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 $152 85%
United $152 - $1,167 85%
Cigna $160 - $939 89%
Aetna $165 - $4,057 92%
Molina $168 - $171 94%
Parkland Community Health Plan $168 94%
Humana $190 - $427 106%
Blue Cross Blue Shield $230 - $2,978 128%
Imaging Providers Of Texas $350 195%
Superior Health Plan $469 262%
Lifecare Hospitals $2,012 1123%
Healthcare Highways $2,267 1265%
Prominence Health Plan $2,683 1497%
City Of Mckinney $3,018 1684%
Fidelis Securecare $3,018 1684%
National Choicecare $3,353 1871%
Pc Texas Partners $3,689 2059%
Physicians Coop Of Tx $3,689 2059%
Rockport Health Group $3,689 2059%
Averde Health, Inc $3,890 2171%
Texas Healthcare Foundation Wc $4,359 2432%
Coastal Comp Health Networks $4,695 2620%
Mega Life $4,695 2620%
Healthsmart Preferred Care $5,030 2807%
Lewisville Isd/Dls Consulting $5,030 2807%
Usa Managed Care $5,365 2994%
Usc Health Services $5,365 2994%
Galaxy Health Network $5,701 3181%
Independent Medical Systems $6,707 3743%
National Healthcare Solutions $6,707 3743%
Unicare $6,707 3743%

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