CMS Price Transparency Data

CT scan, head (no contrast)

Facility: Methodist Hospital Stone Oak

Billing Code: 70450 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70450
  • Insurance Median: $398
  • Cash Discount Price: $6,391
  • vs. Medicare Baseline: 3.73x Medicare
The contracted insurance negotiated median rate for a CT scan, head (no contrast) at Methodist Hospital Stone Oak is $398. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $6,391. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 3.73x the Medicare baseline. Located in 1139 E Sonterra Blvd,, San Antonio, TX.
Cash / Self-Pay
$6,391

Average discount available for prompt cash payment at this facility.

Insurance Median
$398

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$106.81

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $106.81 (100%)
Cash / Self-Pay: $6,391 (5984%)
Insurance Median: $398 (373%)
Cash: $6,391 (5984% of Medicare)
Ins. Median: $398 (373% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $106.81 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 373% of the Medicare baseline (a markup of 273%). 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
Community First Health Plans $105 - $1,726 98%
United $105 - $2,876 98%
Usa Managed Care Chip $105 98%
Amerigroup $107 - $895 100%
Aetna $115 - $3,196 108%
Molina Healthcare $115 108%
Humana $131 123%
Blue Cross Blue Shield $180 - $1,885 169%
Superior Health $320 300%
Imperial Insurance $1,214 1137%
Fidelis Securecare $2,876 2693%
National Choicecare $3,196 2992%
Texas Healthcare Foundation Heb $3,196 2992%
Tx Healthcare Foundation $3,196 2992%
Healthsmart Preferred Care $3,515 3291%
Independent Medical Systems $3,515 3291%
Physician Cooperative Of Texas $3,515 3291%
Haa Preferred Partners $3,835 3590%
Coastal Comp Health Networks $4,154 3889%
National Healthcare Solutions $4,154 3889%
Tml Intergovernmental Ebp $4,474 4189%
Multiplan $4,793 - $5,432 4487%
Triwest Health Alliance $4,793 4487%
Usa Managed Care $4,793 4487%
Blue Bell $5,113 4787%
Directcare America $5,113 4787%
Managed Healthcare $5,432 5086%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1139 E Sonterra Blvd,, San Antonio, TX 78258
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals