CMS Price Transparency Data

CT scan, head (with contrast)

Facility: HCA Houston Healthcare Kingwood

Billing Code: 70460 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70460
Insurance Median: $1,635
Cash Discount Price: $14,662
vs. Medicare Baseline: 9.12x Medicare

The contracted insurance negotiated median rate for a CT scan, head (with contrast) at HCA Houston Healthcare Kingwood is $1,635. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $14,662. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 9.12x the Medicare baseline. Located in 22999 Us Hwy 59, Kingwood, TX.

Cash / Self-Pay

$14,662

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,635

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: $14,662 (8182%)

Insurance Median: $1,635 (912%)

Cash: $14,662 (8182% of Medicare)

Ins. Median: $1,635 (912% 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 912% of the Medicare baseline (a markup of 812%). 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	$149	83%
Amerigroup	$152	85%
Texas Childrens Health Plans	$152 - $2,628	85%
Community Health Choice Mcd	$153	85%
United	$156 - $7,125	87%
Aetna	$166 - $1,301	93%
Molina Healthcare	$168	94%
Humana	$190 - $1,863	106%
Superior Health Plan	$308 - $950	172%
Blue Cross Blue Shield	$395 - $5,542	220%
Cigna	$1,635 - $2,106	912%
Christus (Usfhp)	$2,052 - $6,334	1145%
Coventry National First Health	$2,734 - $8,439	1526%
Multiplan	$3,847 - $13,459	2147%
Healthsmart Preferred Care	$6,305 - $13,459	3518%
Fidelis Securecare Of Tx	$6,598 - $7,125	3682%
Physicians Cooperative Of Texas	$8,064 - $8,709	4500%
Rockport Workers Comp	$8,064 - $8,709	4500%
Independent Medical System	$8,797 - $9,500	4909%
National Healthcare Solutions	$8,797 - $9,500	4909%
Southwest Medical	$8,797 - $9,500	4909%
Coastal Comp	$9,530 - $10,292	5318%
Physicians, Inc	$12,462 - $13,459	6954%
Usa Managed Care	$12,462 - $13,459	6954%
Affiliated Ppo	$13,195 - $14,251	7363%

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 $14,662.
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 HCA Houston Healthcare Kingwood 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.