CMS Price Transparency Data

CT scan, head (with contrast)

Facility: Texas Childrens Hospital North Austin Campus

Billing Code: 70460 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70460
Insurance Median: $2,231
Cash Discount Price: $2,373
vs. Medicare Baseline: 12.45x Medicare

The contracted insurance negotiated median rate for a CT scan, head (with contrast) at Texas Childrens Hospital North Austin Campus is $2,231. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,373. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 12.45x the Medicare baseline. Located in 9835 North Lake Creek Parkway Bldg A, Austin, TX.

Cash / Self-Pay

$2,373

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,231

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: $2,373 (1324%)

Insurance Median: $2,231 (1245%)

Cash: $2,373 (1324% of Medicare)

Ins. Median: $2,231 (1245% 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 1245% of the Medicare baseline (a markup of 1145%). 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
Superior Chip	$152 - $160	85%
Driscoll Children'S Health Plan Mcd	$168	94%
First Care Health Plan	$956 - $2,267	533%
UnitedHealthcare	$956 - $2,267	533%
Molina Mcd	$1,063	593%
Blue Cross Blue Shield	$1,240 - $2,231	692%
Community Health Choice	$1,250 - $2,267	698%
Community First Health Plan Mcd	$1,417	791%
Cook Children'S Health Plan	$1,417	791%
Cigna	$2,019 - $2,267	1127%
Aetna	$2,267	1265%
Kelseycare	$2,302	1285%
Healthsmart	$2,479	1383%
Evolutions Healthcare	$2,656	1482%
First Health	$3,117 - $3,365	1739%
Multiplan	$3,188	1779%
Galaxy Health Network	$3,365	1878%

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 $2,373.
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 Texas Childrens Hospital North Austin Campus 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.