CMS Price Transparency Data

CT scan, head (with contrast)

Facility: Yoakum Community Hospital

Billing Code: 70460 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70460
  • Insurance Median: $2,168
  • Cash Discount Price: $1,979
  • vs. Medicare Baseline: 12.10x Medicare
The contracted insurance negotiated median rate for a CT scan, head (with contrast) at Yoakum Community Hospital is $2,168. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,979. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 12.10x the Medicare baseline. Located in 1200 Carl Ramert Drive, Yoakum, TX.
Cash / Self-Pay
$1,979

Average discount available for prompt cash payment at this facility.

Insurance Median
$2,168

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: $1,979 (1104%)
Insurance Median: $2,168 (1210%)
Cash: $1,979 (1104% of Medicare)
Ins. Median: $2,168 (1210% 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 1210% of the Medicare baseline (a markup of 1110%). 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
Medicaid / KanCare $300 - $3,044 167%
Blue Cross Blue Shield $375 - $1,458 209%
UnitedHealthcare $700 - $2,214 391%
Humana $1,248 696%
Medicare (plans) $1,248 696%
Prime Health Svcs Mcr Advantage $1,248 696%
Scott & White Mcare Advan $1,248 696%
Superior Mcr Advantage $1,248 696%
Triwest Va Ccn-All Plans $1,248 696%
Tx Independent Hp Mcr Advantage-All Plans $1,248 696%
Superior Hix-All Other Plans $1,560 871%
Kempton Group Admin Ppo-All Plans $1,997 1114%
Entrust - All Plans $2,122 1184%
Amera-Net-All Plans $2,283 1274%
Scott & White Ppo-All Other Plans $2,283 1274%
Healthsmart Ppo-All Other Plans $2,374 1325%
Blue Bell Creameries Emp-All Plans $2,435 1359%
Cigna $2,435 1359%
Americas Health Plan-All Plans $2,587 1444%
Beech Street-All Plans $2,587 1444%
Directcare America-All Plans $2,587 1444%
Galaxy Ppo - All Plans $2,587 1444%
Health Star Comm Ip/Op Only - All Plans $2,587 1444%
Medcorp Southwest Ppo-All Plans $2,587 1444%
Medical Control Ppo-All Plans $2,587 1444%
Phcs Multiplan - All Plans $2,587 1444%
Aetna $2,740 1529%
Healthsmart Work Comp $2,740 1529%
Prime Health Svcs Ppo-All Other Plans $2,740 1529%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1200 Carl Ramert Drive, Yoakum, TX 77995
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals