CMS Price Transparency Data

CT scan, head (with contrast)

Facility: Medina Regional Hospital

Billing Code: 70460 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70460
Insurance Median: $708
Cash Discount Price: $2,023
vs. Medicare Baseline: 3.95x Medicare

The contracted insurance negotiated median rate for a CT scan, head (with contrast) at Medina Regional Hospital is $708. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,023. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 3.95x the Medicare baseline. Located in 3100 Avenue E, Hondo, TX.

Cash / Self-Pay

$2,023

Average discount available for prompt cash payment at this facility.

Insurance Median

$708

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: $2,023 (1129%)

Insurance Median: $708 (395%)

Cash: $2,023 (1129% of Medicare)

Ins. Median: $708 (395% 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 395% of the Medicare baseline (a markup of 295%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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	$227 - $1,348	127%
Amerigroup	$227	127%
Superior Health Plan	$227 - $871	127%
Community First Health Plan	$239 - $2,247	133%
Curative	$306 - $1,348	171%
Cigna	$400	223%
UnitedHealthcare	$539 - $1,685	301%
Benefit Administrators	$627	350%
Amerivantage	$742	414%
Blue Advantage	$1,124	627%
Blue Cross Blue Shield	$1,195	667%

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 $2,023.
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 Medina 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.