CMS Price Transparency Data

CT scan, head (with and without contrast)

Facility: North Austin Medical Center

Billing Code: 70470 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70470
  • Insurance Median: $836
  • Cash Discount Price: $1,599
  • vs. Medicare Baseline: 4.67x Medicare
The contracted insurance negotiated median rate for a CT scan, head (with and without contrast) at North Austin Medical Center is $836. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,599. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 4.67x the Medicare baseline. Located in 12221 Mopac Expressway North, Austin, TX.
Cash / Self-Pay
$1,599

Average discount available for prompt cash payment at this facility.

Insurance Median
$836

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: $1,599 (892%)
Insurance Median: $836 (467%)
Cash: $1,599 (892% of Medicare)
Ins. Median: $836 (467% 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 467% of the Medicare baseline (a markup of 367%). 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
Superior Health Plan $63 - $995 35%
St David’S Hospice $175 98%
Blue Cross Blue Shield $184 - $1,726 103%
United $184 - $2,633 103%
Molina Healthcare $193 108%
Humana $219 122%
Sendero $219 122%
Aetna $221 - $2,612 123%
Amerigroup $256 143%
Imo Med - Select Network $377 - $1,755 210%
Texas Healthcare Foundation Heb $465 - $2,165 259%
Texas Workforce Commission $490 - $2,282 273%
Averde Health $565 - $2,633 315%
UnitedHealthcare $565 - $2,633 315%
Comanche County $628 - $2,926 350%
National Choicecare $628 - $2,926 350%
Healthsmart Preferred Care $691 - $4,681 386%
Independent Medical Systems $691 - $3,218 386%
Physicians Cooperative Of Texas $691 - $3,218 386%
Prime Health $754 - $3,511 421%
First Health $785 - $4,154 438%
Coastal Comp Health Networks $816 - $3,803 455%
National Health Care $816 - $3,803 455%
Texas Municipal League $879 - $4,096 491%
Medcorp Southwest $942 - $4,388 526%
Rockport Healthcare Group $1,005 - $5,266 561%
Bce Emergis Corporation $1,130 - $5,266 631%
Beech Street $1,130 - $5,266 631%
Medical Control Network Solutions $1,130 - $5,266 631%
Multiplan $1,130 - $5,266 631%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 12221 Mopac Expressway North, Austin, TX 78758
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals