CMS Price Transparency Data

CT scan, head (with and without contrast)

Facility: St Luke's Patients Medical Center

Billing Code: 70470 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70470
  • Insurance Median: $577
  • Cash Discount Price: $4,055
  • vs. Medicare Baseline: 3.22x Medicare
The contracted insurance negotiated median rate for a CT scan, head (with and without contrast) at St Luke's Patients Medical Center is $577. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $4,055. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 3.22x the Medicare baseline. Located in 4600 East Sam Houston Parkway South, Pasadena, TX.
Cash / Self-Pay
$4,055

Average discount available for prompt cash payment at this facility.

Insurance Median
$577

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: $4,055 (2263%)
Insurance Median: $577 (322%)
Cash: $4,055 (2263% of Medicare)
Ins. Median: $577 (322% 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 322% of the Medicare baseline (a markup of 222%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash 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
Chc $166 93%
Tchp $166 93%
Wellpoint $175 - $267 98%
Blue Cross Blue Shield $178 - $793 99%
Cigna $178 - $8,111 99%
Humana $178 - $800 99%
Kelsey $178 99%
United $179 - $2,156 100%
Aetna $182 - $7,879 102%
Amerivantage $184 103%
Devoted $191 107%
Scanhealth $191 107%
Ambetter / Centene $267 149%
Community Health Choice $267 149%
Bright Health $299 167%
Coventry $7,532 4203%
First Health $7,532 4203%
Healthsmart $8,111 4526%
Multiplan $8,690 4849%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 4600 East Sam Houston Parkway South, Pasadena, TX 77505
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals