CMS Price Transparency Data

CT scan, head (with contrast)

Facility: Childrens Medical Ctr of Dallas

Billing Code: 70460 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70460
Insurance Median: $2,842
Cash Discount Price: $3,045
vs. Medicare Baseline: 15.86x Medicare

The contracted insurance negotiated median rate for a CT scan, head (with contrast) at Childrens Medical Ctr of Dallas is $2,842. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,045. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 15.86x the Medicare baseline. Located in 1935 Medical District Drive, Dallas, TX.

Cash / Self-Pay

$3,045

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,842

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: $3,045 (1699%)

Insurance Median: $2,842 (1586%)

Cash: $3,045 (1699% of Medicare)

Ins. Median: $2,842 (1586% 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 1586% of the Medicare baseline (a markup of 1486%). 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
Aetna	$126 - $2,842	70%
Humana	$126 - $3,045	70%
Medicaid / KanCare	$126	70%
Oklahoma Complete Health	$126	70%
Superior Health Plan	$160	89%
Firstcare Health	$974	544%
Methodist	$1,041 - $2,312	581%
Cigna	$1,075 - $2,801	600%
UnitedHealthcare	$1,225 - $3,045	684%
Blue Cross Blue Shield	$1,275 - $2,761	711%
Molina Healthcare	$1,299	725%
Parkland Community	$1,340	748%
Texas Children'S Health Plan	$1,340	748%
Wellpoint	$1,340	748%
Cookchildren'S Health Plan	$1,380	770%
Carelon	$1,502 - $1,989	838%
Employers Health Network	$2,842	1586%
Imagine Health	$2,842	1586%
Scott & White	$2,883	1609%
Txp Emerging Therapy Solutions	$2,883	1609%
Healthsmart	$2,964 - $3,451	1654%
Healthscope Benefit Solutions	$3,045	1699%
Phcs	$3,045	1699%
Quiktrip (Qt)	$3,045	1699%
Txp Interlink	$3,045	1699%
Coventry Health	$3,248	1813%
Equifax Healthcare	$3,451	1926%
Multiplan	$3,451	1926%
Usa Managed Care	$3,776	2107%
Galaxy Health	$3,938	2198%

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 $3,045.
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 Childrens Medical Ctr of Dallas 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.