CMS Price Transparency Data

CT scan, head (with and without contrast)

Facility: Baylor Scott & White Medical Center - Round Rock

Billing Code: 70470 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70470
Insurance Median: $1,147
Cash Discount Price: $2,109
vs. Medicare Baseline: 6.40x Medicare

The contracted insurance negotiated median rate for a CT scan, head (with and without contrast) at Baylor Scott & White Medical Center - Round Rock is $1,147. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,109. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 6.40x the Medicare baseline. Located in 300 University Blvd, Round Rock, TX.

Cash / Self-Pay

$2,109

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,147

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: $2,109 (1177%)

Insurance Median: $1,147 (640%)

Cash: $2,109 (1177% of Medicare)

Ins. Median: $1,147 (640% 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 640% of the Medicare baseline (a markup of 540%). 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
Baylor Scott & White Health Plan	$156 - $1,586	87%
Humana	$164 - $2,461	92%
Superior Health Plan	$164 - $180	92%
Triwest	$164	92%
Corvel	$172	96%
Prime Health Services	$172	96%
Aetna	$173 - $1,933	97%
American Health Plan	$173	97%
Blue Cross Blue Shield	$173 - $871	97%
Healthspring	$173	97%
Procare Advantage	$173	97%
UnitedHealthcare	$189 - $1,939	105%
Injury Management Organization	$204	114%
Careworks Fka Rockport	$246	137%
Sedgwick	$246	137%
Cigna	$1,466 - $1,725	818%
University Of Mary Hardin-Baylor	$1,725	963%
Midcoast	$1,933	1079%
Quiktrip	$1,933	1079%
Independent Medical System	$2,109	1177%
Curative	$2,285	1275%
First Health	$2,461	1373%
Healthsmart	$2,461 - $2,636	1373%
Bluebell Creameries	$2,636	1471%
Private Health Care System	$2,636	1471%
Three Rivers	$3,164	1766%

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 $2,109.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 70470.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Baylor Scott & White Medical Center - Round Rock is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 70470.
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.