CMS Price Transparency Data

CT scan, head (with contrast)

Facility: Baylor Scott & White Continuing Care Hospital

Billing Code: 70460 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70460
Insurance Median: $1,630
Cash Discount Price: $1,505
vs. Medicare Baseline: 9.10x Medicare

The contracted insurance negotiated median rate for a CT scan, head (with contrast) at Baylor Scott & White Continuing Care Hospital is $1,630. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,505. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 9.10x the Medicare baseline. Located in 546 N Kegley Rd, Temple, TX.

Cash / Self-Pay

$1,505

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,630

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: $1,505 (840%)

Insurance Median: $1,630 (910%)

Cash: $1,505 (840% of Medicare)

Ins. Median: $1,630 (910% 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 910% of the Medicare baseline (a markup of 810%). 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
Superior Health Plan	$153	85%
Corvel	$174	97%
Injury Management Organization	$206	115%
Careworks Fka Rockport	$248	138%
Sedgwick	$248	138%
Midcoast	$1,379	770%
Blue Cross Blue Shield	$1,404 - $1,705	783%
Independent Medical System	$1,505	840%
Cigna	$1,605 - $1,881	896%
Curative	$1,630	910%
First Health	$1,755	979%
Healthsmart	$1,755 - $1,881	979%
Humana	$1,755	979%
Imagine Health	$1,806	1008%
Aetna	$1,881	1050%
University Of Mary Hardin-Baylor	$1,881	1050%
UnitedHealthcare	$2,097	1170%
Three Rivers	$2,257	1259%

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 $1,505.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 70460.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Baylor Scott & White Continuing Care Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 70460.
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.