CMS Price Transparency Data

CT scan, head (with and without contrast)

Facility: Memorial Medical Center

Billing Code: 70470 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70470
  • Insurance Median: $796
  • Cash Discount Price: $1,240
  • vs. Medicare Baseline: 4.44x Medicare
The contracted insurance negotiated median rate for a CT scan, head (with and without contrast) at Memorial Medical Center is $796. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,240. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 4.44x the Medicare baseline. Located in 701 N Virginia St, Port Lavaca, TX.
Cash / Self-Pay
$1,240

Average discount available for prompt cash payment at this facility.

Insurance Median
$796

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: $1,240 (692%)
Insurance Median: $796 (444%)
Cash: $1,240 (692% of Medicare)
Ins. Median: $796 (444% 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 444% of the Medicare baseline (a markup of 344%). 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
Triwest Va Pccc-All Plans $56 - $920 31%
Amerigroup Mcr Adv-All Other Plans $57 - $939 32%
Care Improvement Plus - All Other Plans $57 - $939 32%
Care Improvement Plus Mcr $57 - $948 32%
Superior Allwell Mcr Adv-All Other Plans $57 - $939 32%
UnitedHealthcare $57 - $2,682 32%
Universal American Mcr-All Other Plans $57 - $939 32%
Universal American Snp $60 - $985 33%
Ambetter / Centene $61 - $1,126 34%
Coventry First Hlth Hmo Ppo-All Other Plans $72 - $2,682 40%
Coventry First Hlth Mcr Adv $72 - $939 40%
Galaxy Health Network-All Plans $83 - $2,849 46%
Capstar Health Network-All Plans $90 - $2,682 50%
Cigna $90 - $2,514 50%
Healthcare Highways-All Plans $125 - $2,682 70%
Prime Healthcare Services-All Plans $134 - $2,346 75%
Blue Cross Blue Shield $144 - $863 80%
Humana $153 - $2,682 85%
Corvel Work Comp-All Plans $163 - $2,849 91%
Independent Med Sys Ppo-All Plans $163 - $2,849 91%
Multiplan Mcr Adv $163 - $939 91%
Multiplan Phcs Ppo-All Other Plans $163 - $2,849 91%
Provider Select Ppo-All Plans $163 - $2,849 91%
Three Rivers Ppo-All Plans $163 - $2,849 91%
Usa Mso - All Plans $163 - $2,849 91%
Amerigroup Chip $192 - $1,609 107%
Amerigroup Star $192 - $1,609 107%
Amerigroup Star Kids $192 - $1,609 107%
Amerigroup Star Plus $192 - $1,609 107%
Comm Health Chip $192 - $1,609 107%
Comm Health Perinatal-All Other Plans $192 - $1,609 107%
Molina Chip/Star-All Plans $192 - $1,609 107%
Scott & White Chip/Star-All Plans $192 - $1,609 107%
Superior Chip/Star $192 - $1,609 107%
Texas Childrens Hp - All Plans $192 - $1,609 107%
Comm Health Mcaid Hmo $201 - $1,689 112%
Comm Health Star $201 - $1,689 112%
Aetna $2,682 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