CMS Price Transparency Data

CT scan, head (with and without contrast)

Facility: St Luke's Sugar Land Hospital

Billing Code: 70470 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70470
  • Insurance Median: $800
  • Cash Discount Price: $3,935
  • vs. Medicare Baseline: 4.46x Medicare
The contracted insurance negotiated median rate for a CT scan, head (with and without contrast) at St Luke's Sugar Land Hospital is $800. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,935. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 4.46x the Medicare baseline. Located in 1317 Lake Pointe Parkway, Sugar Land, TX.
Cash / Self-Pay
$3,935

Average discount available for prompt cash payment at this facility.

Insurance Median
$800

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: $3,935 (2196%)
Insurance Median: $800 (446%)
Cash: $3,935 (2196% of Medicare)
Ins. Median: $800 (446% 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 446% of the Medicare baseline (a markup of 346%). 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
Renaissance $128 71%
Wellpoint $175 - $267 98%
Blue Cross Blue Shield $178 - $793 99%
Cigna $178 - $7,870 99%
Humana $178 - $7,308 99%
Selectcare $178 99%
UnitedHealthcare $179 - $9,289 100%
Aetna $182 - $7,645 102%
Amerivantage $184 103%
United $184 - $5,284 103%
Devoted $191 107%
Scanhealth $191 107%
Kindred $196 109%
Chc $207 - $6,184 116%
Kelseycare $241 - $1,155 134%
Kelsey $248 138%
Community Health Choice $267 149%
Superior Health Plan $267 149%
Bright Health $299 167%
Nx Health $580 324%
Tchp $899 - $1,205 502%
Healthsmart $900 - $7,870 502%
Tchpchip $3,935 - $4,834 2196%
Texastruechoice $6,184 3451%
Coventry $7,308 4078%
First Health $7,308 4078%
Interlink $7,870 4392%
Multiplan $8,432 4705%
USA Health Network $9,557 5333%
Mhealth Network $11,243 6274%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1317 Lake Pointe Parkway, Sugar Land, TX 77478
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals