CMS Price Transparency Data

CT scan, head (no contrast)

Facility: Texas Orthopedic Hospital

Billing Code: 70450 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70450
  • Insurance Median: $989
  • Cash Discount Price: $6,996
  • vs. Medicare Baseline: 9.26x Medicare
The contracted insurance negotiated median rate for a CT scan, head (no contrast) at Texas Orthopedic Hospital is $989. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $6,996. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 9.26x the Medicare baseline. Located in 7401 South Main Street, Houston, TX.
Cash / Self-Pay
$6,996

Average discount available for prompt cash payment at this facility.

Insurance Median
$989

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$106.81

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $106.81 (100%)
Cash / Self-Pay: $6,996 (6550%)
Insurance Median: $989 (926%)
Cash: $6,996 (6550% of Medicare)
Ins. Median: $989 (926% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $106.81 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 926% of the Medicare baseline (a markup of 826%). 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 $103 96%
Amerigroup $105 98%
Texas Childrens Health Plans $105 - $1,161 98%
Community Health Choice Mcd $107 100%
United $109 - $3,148 102%
Aetna $115 - $1,322 108%
Molina Healthcare $115 108%
Humana $131 - $1,285 123%
Blue Cross Blue Shield $224 - $2,448 210%
Superior Health Plan $420 393%
Cigna $1,635 - $2,106 1531%
Texas Workforce Commission $1,679 1572%
Christus (Usfhp) $2,798 2620%
Healthsmart Preferred Care $3,008 - $5,946 2816%
Fidelis Securecare Of Tx $3,148 2947%
Coventry National First Health $3,729 3491%
Physicians Cooperative Of Texas $3,848 3603%
Rockport Workers Comp $3,848 3603%
Independent Medical System $4,197 3929%
National Healthcare Solutions $4,197 3929%
Southwest Medical $4,197 3929%
Coastal Comp $4,547 4257%
Multiplan $5,247 - $5,946 4912%
International Health Insurance $5,597 5240%
Physicians, Inc $5,946 5567%
Affiliated Ppo $6,296 5895%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 7401 South Main Street, Houston, TX 77030
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals