CMS Price Transparency Data

CT scan, head (no contrast)

Facility: Memorial Medical Center

Billing Code: 70450 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70450
  • Insurance Median: $354
  • Cash Discount Price: $741
  • vs. Medicare Baseline: 3.31x Medicare
The contracted insurance negotiated median rate for a CT scan, head (no contrast) at Memorial Medical Center is $354. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $741. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 3.31x the Medicare baseline. Located in 701 N Virginia St, Port Lavaca, TX.
Cash / Self-Pay
$741

Average discount available for prompt cash payment at this facility.

Insurance Median
$354

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$106.81

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $106.81 (100%)
Cash / Self-Pay: $741 (694%)
Insurance Median: $354 (331%)
Cash: $741 (694% of Medicare)
Ins. Median: $354 (331% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $106.81 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 331% of the Medicare baseline (a markup of 231%). 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
Ambetter / Centene $37 - $672 35%
Triwest Va Pccc-All Plans $38 - $549 36%
Amerigroup Mcr Adv-All Other Plans $39 - $560 37%
Care Improvement Plus - All Other Plans $39 - $560 37%
Care Improvement Plus Mcr $39 - $565 37%
Superior Allwell Mcr Adv-All Other Plans $39 - $560 37%
UnitedHealthcare $39 - $1,599 37%
Universal American Mcr-All Other Plans $39 - $560 37%
Universal American Snp $41 - $588 38%
Coventry First Hlth Hmo Ppo-All Other Plans $48 - $1,599 45%
Coventry First Hlth Mcr Adv $48 - $560 45%
Galaxy Health Network-All Plans $56 - $1,699 52%
Capstar Health Network-All Plans $60 - $1,599 56%
Cigna $60 - $1,499 56%
Healthcare Highways-All Plans $76 - $1,599 71%
Prime Healthcare Services-All Plans $82 - $1,399 77%
Blue Cross Blue Shield $88 - $384 82%
Humana $94 - $1,599 88%
Corvel Work Comp-All Plans $99 - $1,699 93%
Independent Med Sys Ppo-All Plans $99 - $1,699 93%
Multiplan Mcr Adv $99 - $560 93%
Multiplan Phcs Ppo-All Other Plans $99 - $1,699 93%
Provider Select Ppo-All Plans $99 - $1,699 93%
Three Rivers Ppo-All Plans $99 - $1,699 93%
Usa Mso - All Plans $99 - $1,699 93%
Amerigroup Chip $117 - $960 110%
Amerigroup Star $117 - $960 110%
Amerigroup Star Kids $117 - $960 110%
Amerigroup Star Plus $117 - $960 110%
Comm Health Chip $117 - $960 110%
Comm Health Perinatal-All Other Plans $117 - $960 110%
Molina Chip/Star-All Plans $117 - $960 110%
Scott & White Chip/Star-All Plans $117 - $960 110%
Superior Chip/Star $117 - $960 110%
Texas Childrens Hp - All Plans $117 - $960 110%
Comm Health Mcaid Hmo $123 - $1,008 115%
Comm Health Star $123 - $1,008 115%
Aetna $1,599 1497%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 701 N Virginia St, Port Lavaca, TX 77979
  • CMS Rating: ★★★★☆
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals