CMS Price Transparency Data

CT scan, head (with contrast)

Facility: Harlingen Medical Center

Billing Code: 70460 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70460
Insurance Median: $228
Cash Discount Price: $175
vs. Medicare Baseline: 1.27x Medicare

The contracted insurance negotiated median rate for a CT scan, head (with contrast) at Harlingen Medical Center is $228. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $175. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 1.27x the Medicare baseline. Located in 5501 South Expressway 77, Harlingen, TX.

Cash / Self-Pay

$175

Average discount available for prompt cash payment at this facility.

Insurance Median

$228

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: $175 (98%)

Insurance Median: $228 (127%)

Cash: $175 (98% of Medicare)

Ins. Median: $228 (127% 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
Medicaid / KanCare	$152 - $319	85%
Superior Health Plan	$152 - $309	85%
Molina	$162 - $328	90%
Aetna	$175 - $1,211	98%
Blue Cross Blue Shield	$175 - $579	98%
Careworks Worker Compensation Fka Rockport Community Network	$175	98%
Cigna	$175 - $294	98%
Humana	$175	98%
Medicare (plans)	$175	98%
San Benito Medical Associates	$175	98%
Texas Bluebonnett Health Plan	$175 - $289	98%
Tricare	$175	98%
UnitedHealthcare	$175 - $1,200	98%
Veterans Evaluation Services	$175	98%
Wellmed	$175	98%
Workers Compensation	$175	98%
Provider Partners Health Plan	$184	103%
Imperial Insurance Company	$186	104%
Asserta Health	$228	127%
Friday Health Plan	$228	127%
Magic Valley Electric Cooperative	$228	127%
Superior Health Commercial Exchange	$228	127%
Employer Direct Healthcare	$245	137%
Corporate Remedies Worker Compensation	$263	147%
Naphcare	$272	152%
Baker Benefits Administrators	$351	196%

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 $175.
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 Harlingen Medical Center 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.