CMS Price Transparency Data

CT scan, head (with contrast)

Facility: St Luke's Sugar Land Hospital

Billing Code: 70460 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70460
Insurance Median: $768
Cash Discount Price: $3,359
vs. Medicare Baseline: 4.29x Medicare

The contracted insurance negotiated median rate for a CT scan, head (with contrast) at St Luke's Sugar Land Hospital is $768. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,359. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 4.29x the Medicare baseline. Located in 1317 Lake Pointe Parkway, Sugar Land, TX.

Cash / Self-Pay

$3,359

Average discount available for prompt cash payment at this facility.

Insurance Median

$768

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: $3,359 (1874%)

Insurance Median: $768 (429%)

Cash: $3,359 (1874% of Medicare)

Ins. Median: $768 (429% 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 429% of the Medicare baseline (a markup of 329%). 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
Renaissance	$128	71%
Wellpoint	$152 - $267	85%
UnitedHealthcare	$155 - $7,929	86%
United	$156 - $4,511	87%
Blue Cross Blue Shield	$160 - $793	89%
Chc	$176 - $5,278	98%
Cigna	$178 - $6,718	99%
Humana	$178 - $6,238	99%
Selectcare	$178	99%
Aetna	$182 - $6,526	102%
Amerivantage	$184	103%
Devoted	$191	107%
Scanhealth	$191	107%
Kindred	$196	109%
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	$768 - $1,029	429%
Healthsmart	$900 - $6,718	502%
Tchpchip	$3,359 - $4,127	1874%
Texastruechoice	$5,278	2945%
Coventry	$6,238	3481%
First Health	$6,238	3481%
Interlink	$6,718	3749%
Multiplan	$7,198	4017%
USA Health Network	$8,157	4552%
Mhealth Network	$9,597	5355%

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 $3,359.
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 St Luke's Sugar Land Hospital 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.