CMS Price Transparency Data

CT scan, head (with contrast)

Facility: El Paso Children's Hospital

Billing Code: 70460 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70460
Insurance Median: $336
Cash Discount Price: $142
vs. Medicare Baseline: 1.88x Medicare

The contracted insurance negotiated median rate for a CT scan, head (with contrast) at El Paso Children's Hospital is $336. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $142. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 1.88x the Medicare baseline. Located in 4845 Alameda Avenue, El Paso, TX.

Cash / Self-Pay

$142

Average discount available for prompt cash payment at this facility.

Insurance Median

$336

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: $142 (79%)

Insurance Median: $336 (188%)

Cash: $142 (79% of Medicare)

Ins. Median: $336 (188% 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.

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
Uh Military Va	$131	73%
Health Net Fed Svcs	$141	79%
Blue Cross Blue Shield	$145 - $532	81%
Amerigroup Tx	$152	85%
Point Comfort Underwriters	$152	85%
Superior	$152	85%
El Paso Health Plans	$168	94%
Molina Tx	$168	94%
El Paso First Health Plan	$199	111%
Western Sky	$376	210%
UnitedHealthcare	$509	284%
Aetna	$510 - $567	285%
Cigna	$557	311%
Coventry Health Care	$567	316%
Fortified Provider Network	$567	316%
Multiplan	$567	316%
Molina Nm	$772	431%

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 $142.
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 El Paso Children's 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.