CMS Price Transparency Data

CT scan, head (with and without contrast)

Facility: Warm Springs Rehabilitation Hospital of San Antonio

Billing Code: 70470 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70470
  • Insurance Median: $4,896
  • Cash Discount Price: $6,528
  • vs. Medicare Baseline: 27.32x Medicare
The contracted insurance negotiated median rate for a CT scan, head (with and without contrast) at Warm Springs Rehabilitation Hospital of San Antonio is $4,896. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $6,528. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 27.32x the Medicare baseline. Located in 5101 Medical Dr, San Antonio, TX.
Cash / Self-Pay
$6,528

Average discount available for prompt cash payment at this facility.

Insurance Median
$4,896

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: $6,528 (3643%)
Insurance Median: $4,896 (2732%)
Cash: $6,528 (3643% of Medicare)
Ins. Median: $4,896 (2732% 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 2732% of the Medicare baseline (a markup of 2632%). 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
Molina Healthcare $162 90%
Wellpoint (Amerigroup) $180 100%
Community First Health Plans $500 279%
America'S Choice Provider Network $4,570 2550%
Galaxy Health $4,896 2732%
Provider Network Of America $4,896 2732%
Quik Trip $4,896 2732%
Usa Managed Care Organization $4,896 2732%
Velocity Provider Ppo Network $4,896 2732%
Multiplan/Phcs $5,222 2914%
Three Rivers $5,222 2914%
Prime Health Services $5,549 3097%
Medincrease $5,875 3278%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 5101 Medical Dr, San Antonio, TX 78229
  • CMS Rating: No CMS Rating
  • Ownership Type: N/A
  • Hospital Type: PART A PROVIDER - HOSPITAL