CMS Price Transparency Data

CT scan, head (with and without contrast)

Facility: HCA Houston Healthcare Kingwood

Billing Code: 70470 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70470
  • Insurance Median: $2,750
  • Cash Discount Price: $16,964
  • vs. Medicare Baseline: 15.35x Medicare
The contracted insurance negotiated median rate for a CT scan, head (with and without contrast) at HCA Houston Healthcare Kingwood is $2,750. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $16,964. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 15.35x the Medicare baseline. Located in 22999 Us Hwy 59, Kingwood, TX.
Cash / Self-Pay
$16,964

Average discount available for prompt cash payment at this facility.

Insurance Median
$2,750

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: $16,964 (9467%)
Insurance Median: $2,750 (1535%)
Cash: $16,964 (9467% of Medicare)
Ins. Median: $2,750 (1535% 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 1535% of the Medicare baseline (a markup of 1435%). 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 - $2,953 98%
Community Health Choice Mcd $180 100%
United $184 - $8,004 103%
Molina Healthcare $193 108%
Aetna $195 - $1,301 109%
Humana $219 - $2,242 122%
Superior Health Plan $356 - $1,067 199%
Blue Cross Blue Shield $395 - $6,226 220%
Cigna $1,635 - $2,106 912%
Christus (Usfhp) $2,374 - $7,115 1325%
Coventry National First Health $3,163 - $9,481 1765%
Multiplan $4,451 - $15,119 2484%
Healthsmart Preferred Care $7,082 - $15,119 3952%
Fidelis Securecare Of Tx $7,411 - $8,004 4136%
Physicians Cooperative Of Texas $9,058 - $9,783 5055%
Rockport Workers Comp $9,058 - $9,783 5055%
Independent Medical System $9,881 - $10,672 5514%
National Healthcare Solutions $9,881 - $10,672 5514%
Southwest Medical $9,881 - $10,672 5514%
Coastal Comp $10,705 - $11,562 5974%
Physicians, Inc $13,999 - $15,119 7812%
Usa Managed Care $13,999 - $15,119 7812%
Affiliated Ppo $14,822 - $16,009 8271%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 22999 Us Hwy 59, Kingwood, TX 77325
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals