CMS Price Transparency Data

CT scan, head (with contrast)

Facility: Valley Regional Medical Center

Billing Code: 70460 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70460
Insurance Median: $1,723
Cash Discount Price: $16,356
vs. Medicare Baseline: 9.61x Medicare

The contracted insurance negotiated median rate for a CT scan, head (with contrast) at Valley Regional Medical Center is $1,723. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $16,356. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 9.61x the Medicare baseline. Located in 100 A Alton Gloor, Brownsville, TX.

Cash / Self-Pay

$16,356

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,723

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: $16,356 (9127%)

Insurance Median: $1,723 (961%)

Cash: $16,356 (9127% of Medicare)

Ins. Median: $1,723 (961% 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 961% of the Medicare baseline (a markup of 861%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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	$151	84%
Usa Mco	$152	85%
United	$156 - $7,360	87%
Driscoll Childrens Health Plan	$157	88%
Aetna	$166 - $2,309	93%
Molina Healthcare	$168	94%
Blue Cross Blue Shield	$446 - $7,360	249%
Humana	$1,050	586%
Superior Health Plan	$1,145	639%
Texas Workforce Commission	$3,925	2190%
Averde Health	$5,398	3012%
Healthsmart Preferred Care	$7,033 - $13,903	3925%
First Health	$9,405	5248%
National Healthcare Solutions	$9,814	5477%
Southwest Medical	$9,814	5477%
Coastal Comp	$10,631	5932%
Total E&P Mexico	$10,631	5932%
Affiliated Healthcare	$11,122	6206%
Mcm Maxcare	$13,085	7302%
Pronet Ppo	$13,085	7302%
Usa Managed Care	$13,085	7302%
Beech Street	$14,720	8214%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $16,356.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 70460.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Valley Regional Medical Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 70460.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.