CMS Price Transparency Data

CT scan, head (with contrast)

Facility: Kell West Regional Hospital

Billing Code: 70460 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70460
Insurance Median: $290
Cash Discount Price: $1,180
vs. Medicare Baseline: 1.62x Medicare

The contracted insurance negotiated median rate for a CT scan, head (with contrast) at Kell West Regional Hospital is $290. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,180. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 1.62x the Medicare baseline. Located in 5420 Kell West Boulevard, Wichita Falls, TX.

Cash / Self-Pay

$1,180

Average discount available for prompt cash payment at this facility.

Insurance Median

$290

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: $1,180 (658%)

Insurance Median: $290 (162%)

Cash: $1,180 (658% of Medicare)

Ins. Median: $290 (162% 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.

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
Aetna	$120 - $167	67%
Blue Cross Blue Shield	$164 - $312	92%
Medicare (plans)	$164	92%
Humana	$167 - $1,200	93%
Medadv_Uhc	$167	93%
Tricare	$179	100%
Blue_Advantage_Bav	$264	147%
Blue_Essentials	$281	157%
Cigna	$300 - $600	167%
UnitedHealthcare	$557	311%
Healthsmart_Ppo	$1,218	680%
Phcs	$1,305	728%
Self_Pay	$1,392	777%
Multiplan	$1,479	825%

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 $1,180.
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 Kell West Regional Hospital 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.