CMS Price Transparency Data

CT scan, head (no contrast)

Facility: Childrens Medical Center Plano

Billing Code: 70450 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70450
Insurance Median: $2,784
Cash Discount Price: $2,983
vs. Medicare Baseline: 26.06x Medicare

The contracted insurance negotiated median rate for a CT scan, head (no contrast) at Childrens Medical Center Plano is $2,784. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,983. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 26.06x the Medicare baseline. Located in 7601 Preston Road, Plano, TX.

Cash / Self-Pay

$2,983

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,784

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: $2,983 (2793%)

Insurance Median: $2,784 (2606%)

Cash: $2,983 (2793% of Medicare)

Ins. Median: $2,784 (2606% 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 2606% of the Medicare baseline (a markup of 2506%). 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	$90 - $2,784	84%
Humana	$90 - $2,983	84%
Medicaid / KanCare	$90	84%
Oklahoma Complete Health	$90	84%
Molina Healthcare	$105	98%
Superior Health Plan	$110	103%
Wellpoint	$534	500%
Firstcare Health	$907	849%
Methodist	$1,041 - $2,265	975%
Cigna	$1,075 - $2,744	1006%
UnitedHealthcare	$1,225 - $2,983	1147%
Blue Cross Blue Shield	$1,275 - $2,704	1194%
Parkland Community	$1,312	1228%
Texas Children'S Health Plan	$1,312	1228%
Cookchildren'S Health Plan	$1,352	1266%
Carelon	$1,471 - $1,949	1377%
Employers Health Network	$2,784	2606%
Imagine Health	$2,784	2606%
Scott & White	$2,824	2644%
Txp Emerging Therapy Solutions	$2,824	2644%
Healthsmart	$2,903 - $3,380	2718%
Healthscope Benefit Solutions	$2,983	2793%
Phcs	$2,983	2793%
Quiktrip (Qt)	$2,983	2793%
Txp Interlink	$2,983	2793%
Coventry Health	$3,182	2979%
Equifax Healthcare	$3,380	3164%
Multiplan	$3,380	3164%
Usa Managed Care	$3,699	3463%
Galaxy Health	$3,858	3612%

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 $2,983.
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 Childrens Medical Center Plano 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.