CMS Price Transparency Data

CT scan, head (with contrast)

Facility: North Austin Medical Center

Billing Code: 70460 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70460
  • Insurance Median: $844
  • Cash Discount Price: $3,124
  • vs. Medicare Baseline: 4.71x Medicare
The contracted insurance negotiated median rate for a CT scan, head (with contrast) at North Austin Medical Center is $844. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,124. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 4.71x the Medicare baseline. Located in 12221 Mopac Expressway North, Austin, TX.
Cash / Self-Pay
$3,124

Average discount available for prompt cash payment at this facility.

Insurance Median
$844

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: $3,124 (1743%)
Insurance Median: $844 (471%)
Cash: $3,124 (1743% of Medicare)
Ins. Median: $844 (471% 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 471% of the Medicare baseline (a markup of 371%). 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 $72 - $818 40%
St David’S Hospice $152 85%
United $156 - $2,165 87%
Blue Cross Blue Shield $160 - $1,419 89%
Molina Healthcare $168 94%
Humana $190 106%
Sendero $190 106%
Aetna $192 - $2,612 107%
Amerigroup $210 117%
Imo Med - Select Network $431 - $1,443 241%
Texas Healthcare Foundation Heb $532 - $1,780 297%
Texas Workforce Commission $560 - $1,876 313%
Averde Health $647 - $2,165 361%
UnitedHealthcare $647 - $2,165 361%
Comanche County $718 - $2,406 401%
National Choicecare $718 - $2,406 401%
Healthsmart Preferred Care $790 - $3,849 441%
Independent Medical Systems $790 - $2,646 441%
Physicians Cooperative Of Texas $790 - $2,646 441%
Prime Health $862 - $2,887 481%
First Health $898 - $3,416 501%
Coastal Comp Health Networks $934 - $3,127 521%
National Health Care $934 - $3,127 521%
Texas Municipal League $1,006 - $3,368 561%
Medcorp Southwest $1,078 - $3,608 602%
Rockport Healthcare Group $1,150 - $4,330 642%
Bce Emergis Corporation $1,293 - $4,330 722%
Beech Street $1,293 - $4,330 722%
Medical Control Network Solutions $1,293 - $4,330 722%
Multiplan $1,293 - $4,330 722%

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