CMS Price Transparency Data

CT scan, head (with and without contrast)

Facility: Womans Hospital of Texas,The

Billing Code: 70470 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70470
  • Insurance Median: $821
  • Cash Discount Price: $7,817
  • vs. Medicare Baseline: 4.58x Medicare
The contracted insurance negotiated median rate for a CT scan, head (with and without contrast) at Womans Hospital of Texas,The is $821. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $7,817. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 4.58x the Medicare baseline. Located in 7600 Fannin, Houston, TX.
Cash / Self-Pay
$7,817

Average discount available for prompt cash payment at this facility.

Insurance Median
$821

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: $7,817 (4362%)
Insurance Median: $821 (458%)
Cash: $7,817 (4362% of Medicare)
Ins. Median: $821 (458% 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 458% of the Medicare baseline (a markup of 358%). 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
Texas Health Network $172 96%
Amerigroup $175 98%
Texas Childrens Health Plans $175 - $2,040 98%
Community Health Choice Mcd $180 100%
United $184 - $3,518 103%
Molina Healthcare $193 108%
Aetna $195 - $1,644 109%
Humana $219 - $2,242 122%
Blue Cross Blue Shield $364 - $2,736 203%
Superior Health Plan $469 262%
Cigna $1,635 - $2,106 912%
Christus (Usfhp) $3,127 1745%
Healthsmart Preferred Care $3,361 - $6,645 1876%
Fidelis Securecare Of Tx $3,518 1963%
Coventry National First Health $4,167 2325%
Physicians Cooperative Of Texas $4,300 2400%
Rockport Workers Comp $4,300 2400%
Independent Medical System $4,690 2617%
National Healthcare Solutions $4,690 2617%
Southwest Medical $4,690 2617%
Coastal Comp $5,081 2835%
Affiliated Ppo $5,863 3272%
Fiesta Mart, Inc $5,863 3272%
Multiplan $5,863 - $6,645 3272%
Physicians, Inc $6,645 3708%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 7600 Fannin, Houston, TX 77054
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals