CMS Price Transparency Data

CT scan, sinuses

Facility: Seton Medical Center Harker Heights

Billing Code: 70486 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70486
Insurance Median: $1,148
Cash Discount Price: $294
vs. Medicare Baseline: 10.75x Medicare

The contracted insurance negotiated median rate for a CT scan, sinuses at Seton Medical Center Harker Heights is $1,148. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $294. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 10.75x the Medicare baseline. Located in 850 W Central Texas Expressway, Harker Heights, TX.

Cash / Self-Pay

$294

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,148

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: $294 (275%)

Insurance Median: $1,148 (1075%)

Cash: $294 (275% of Medicare)

Ins. Median: $1,148 (1075% 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 1075% of the Medicare baseline (a markup of 975%). 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
Healthscope Benefits [2290]	$530	496%
UnitedHealthcare	$530 - $1,148	496%
Aetna	$544 - $1,689	509%
Healthcare Highways [2210]	$1,148	1075%
Medicaid / KanCare	$1,148 - $3,154	1075%
Oncology Patient Assistance Programs [2295]	$1,148	1075%
Selecthealth [3740]	$1,148	1075%
Web Tpa [2115]	$1,148 - $2,354	1075%
Humana	$1,926	1803%
Blue Cross Blue Shield	$2,177	2038%
First Care Commercial [1371]	$2,207	2066%
Allied Benefit Systems Inc [1030]	$2,354	2204%
Cigna	$2,548	2386%

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 $294.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 70486.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Seton Medical Center Harker Heights is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 70486.
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.