CMS Price Transparency Data

CT scan, head (with and without contrast)

Facility: Medical City Lewisville

Billing Code: 70470 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70470
  • Insurance Median: $230
  • Cash Discount Price: $5,462
  • vs. Medicare Baseline: 1.28x Medicare
The contracted insurance negotiated median rate for a CT scan, head (with and without contrast) at Medical City Lewisville is $230. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $5,462. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 1.28x the Medicare baseline. Located in 500 West Main Street, Lewisville, TX.
Cash / Self-Pay
$5,462

Average discount available for prompt cash payment at this facility.

Insurance Median
$230

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: $5,462 (3048%)
Insurance Median: $230 (128%)
Cash: $5,462 (3048% of Medicare)
Ins. Median: $230 (128% 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.

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%
Cook Childrens Health Plan $175 98%
Parkland Community Health Plan $175 98%
United $175 - $2,173 98%
Cigna $184 - $1,529 103%
Aetna $189 - $7,938 105%
Molina $193 - $196 108%
Humana $219 - $514 122%
Blue Cross Blue Shield $230 - $4,848 128%
Imaging Providers Of Texas $350 195%
Superior Health Plan $764 426%
Unicare $2,621 - $10,919 1463%
Healthcare Highways $3,691 2060%
City Of Mckinney $4,914 2742%
Fidelis Securecare $4,914 2742%
National Choicecare $5,460 3047%
Pc Texas Partners $6,006 3352%
Physicians Coop Of Tx $6,006 3352%
Rockport Health Group $6,006 3352%
Averde Health, Inc $6,333 3534%
Usc Health Services $6,552 3656%
Coastal Comp Health Networks $7,644 4266%
Jostens $7,644 4266%
Mega Life $7,644 4266%
Healthsmart Preferred Care $8,189 4570%
Lewisville Isd/Dls Consulting $8,189 4570%
Usa Managed Care $8,735 4874%
Galaxy Health Network $9,281 5179%
Independent Medical Systems $10,919 6093%
National Healthcare Solutions $10,919 6093%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 500 West Main Street, Lewisville, TX 75057
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals