CMS Price Transparency Data

CT scan, head (no contrast)

Facility: Dell Children's Medical Center

Billing Code: 70450 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70450
Insurance Median: $411
Cash Discount Price: $2,071
vs. Medicare Baseline: 3.85x Medicare

The contracted insurance negotiated median rate for a CT scan, head (no contrast) at Dell Children's Medical Center is $411. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,071. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 3.85x the Medicare baseline. Located in 4900 Mueller Blvd, Austin, TX.

Cash / Self-Pay

$2,071

Average discount available for prompt cash payment at this facility.

Insurance Median

$411

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$106.81

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $106.81 (100%)

Cash / Self-Pay: $2,071 (1939%)

Insurance Median: $411 (385%)

Cash: $2,071 (1939% of Medicare)

Ins. Median: $411 (385% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $106.81 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 385% of the Medicare baseline (a markup of 285%). 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
Champva	$76 - $112	71%
Ambetter / Centene	$107 - $110	100%
Blue Cross Blue Shield	$107 - $501	100%
Wellpoint Chip/Chip Perinate	$107 - $110	100%
Wellpoint Star Kids	$107	100%
Wellpoint Star Plus	$107 - $110	100%
Dell Chip/Chip Perinate	$110	103%
Dell Star	$110	103%
UnitedHealthcare	$110	103%
Wellpoint Star	$110	103%
Humana	$130	122%
Seton Performance Plus	$317	297%
Tricare	$477	447%
Aetna	$507 - $1,345	475%
Covenant Health	$707	662%
Superior Star	$870 - $1,497	815%
Superior Star Foster	$870 - $1,497	815%
Superior Star Kids	$870 - $1,497	815%
Superior Star Plus	$870 - $1,497	815%
Superior Chip/Chip Perinate	$978 - $1,684	916%
Cigna	$1,610	1507%

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 $2,071.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 70450.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Dell Children's Medical Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 70450.
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.