CMS Price Transparency Data

CT scan, head (with and without contrast)

Facility: Ward Memorial Hospital

Billing Code: 70470 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70470
Insurance Median: $2,753
Cash Discount Price: $2,753
vs. Medicare Baseline: 15.36x Medicare

The contracted insurance negotiated median rate for a CT scan, head (with and without contrast) at Ward Memorial Hospital is $2,753. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,753. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 15.36x the Medicare baseline. Located in 406 South Gary St, Monahans, TX.

Cash / Self-Pay

$2,753

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,753

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: $2,753 (1536%)

Insurance Median: $2,753 (1536%)

Cash: $2,753 (1536% of Medicare)

Ins. Median: $2,753 (1536% 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 1536% of the Medicare baseline (a markup of 1436%). 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
Blue Cross Blue Shield	$747 - $2,753	417%
Firstcare	$747 - $762	417%
Medicare (plans)	$747	417%
Superior Healthplan	$747	417%
Cigna	$2,297	1282%
Corecare	$2,753	1536%
Texas True Choice	$2,950	1646%
Unicare	$3,146	1756%
Galaxy Health Network	$3,540	1975%
Multiplan	$3,540	1975%
Usa Health Network	$3,540	1975%
Usc Health Services	$3,540	1975%
Aetna	$3,894	2173%

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 $2,753.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 70470.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Ward Memorial Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 70470.
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.