CMS Price Transparency Data

CT scan, head (with contrast)

Facility: Memorial Medical Center

Billing Code: 70460 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70460
  • Insurance Median: $711
  • Cash Discount Price: $973
  • vs. Medicare Baseline: 3.97x Medicare
The contracted insurance negotiated median rate for a CT scan, head (with contrast) at Memorial Medical Center is $711. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $973. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 3.97x the Medicare baseline. Located in 701 N Virginia St, Port Lavaca, TX.
Cash / Self-Pay
$973

Average discount available for prompt cash payment at this facility.

Insurance Median
$711

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: $973 (543%)
Insurance Median: $711 (397%)
Cash: $973 (543% of Medicare)
Ins. Median: $711 (397% 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 397% of the Medicare baseline (a markup of 297%). 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.

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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 $50 - $719 28%
Ambetter / Centene $51 - $880 28%
Amerigroup Mcr Adv-All Other Plans $51 - $734 28%
Care Improvement Plus - All Other Plans $51 - $734 28%
Care Improvement Plus Mcr $51 - $741 28%
Superior Allwell Mcr Adv-All Other Plans $51 - $734 28%
UnitedHealthcare $51 - $2,096 28%
Universal American Mcr-All Other Plans $51 - $734 28%
Universal American Snp $54 - $770 30%
Coventry First Hlth Hmo Ppo-All Other Plans $64 - $2,096 36%
Coventry First Hlth Mcr Adv $64 - $734 36%
Galaxy Health Network-All Plans $74 - $2,227 41%
Capstar Health Network-All Plans $80 - $2,096 45%
Cigna $80 - $1,965 45%
Healthcare Highways-All Plans $104 - $2,096 58%
Prime Healthcare Services-All Plans $112 - $1,834 63%
Blue Cross Blue Shield $120 - $771 67%
Humana $128 - $2,096 71%
Corvel Work Comp-All Plans $136 - $2,227 76%
Independent Med Sys Ppo-All Plans $136 - $2,227 76%
Multiplan Mcr Adv $136 - $734 76%
Multiplan Phcs Ppo-All Other Plans $136 - $2,227 76%
Provider Select Ppo-All Plans $136 - $2,227 76%
Three Rivers Ppo-All Plans $136 - $2,227 76%
Usa Mso - All Plans $136 - $2,227 76%
Amerigroup Chip $160 - $1,258 89%
Amerigroup Star $160 - $1,258 89%
Amerigroup Star Kids $160 - $1,258 89%
Amerigroup Star Plus $160 - $1,258 89%
Comm Health Chip $160 - $1,258 89%
Comm Health Perinatal-All Other Plans $160 - $1,258 89%
Molina Chip/Star-All Plans $160 - $1,258 89%
Scott & White Chip/Star-All Plans $160 - $1,258 89%
Superior Chip/Star $160 - $1,258 89%
Texas Childrens Hp - All Plans $160 - $1,258 89%
Comm Health Mcaid Hmo $168 - $1,320 94%
Comm Health Star $168 - $1,320 94%
Aetna $2,096 1170%

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