CMS Price Transparency Data

CT scan, head (with and without contrast)

Facility: Methodist Southlake Medical Center

Billing Code: 70470 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70470
  • Insurance Median: $302
  • Cash Discount Price: $2,326
  • vs. Medicare Baseline: 1.69x Medicare
The contracted insurance negotiated median rate for a CT scan, head (with and without contrast) at Methodist Southlake Medical Center is $302. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,326. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 1.69x the Medicare baseline. Located in 421 E State Highway 114, Southlake, TX.
Cash / Self-Pay
$2,326

Average discount available for prompt cash payment at this facility.

Insurance Median
$302

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: $2,326 (1298%)
Insurance Median: $302 (169%)
Cash: $2,326 (1298% of Medicare)
Ins. Median: $302 (169% 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.

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
UnitedHealthcare $166 - $908 93%
Champva [1000] $170 95%
Tricare $170 95%
Triwest Wps [8010] $170 95%
Veterans Administration [9001] $170 95%
Aetna $176 - $2,605 98%
Blue Cross Blue Shield $176 - $1,246 98%
Medicare (plans) $176 - $189 98%
Ust Health Proof [1005] $176 98%
Wellcare [7016] $176 98%
American Health Advantage Of Texas [7099] $185 103%
Cigna $185 - $327 103%
Globalhealth [1003] $185 103%
Procare Advantage [7018] $185 103%
Humana $187 104%
Southwestern Health Resources Swhr [7015] $187 104%
Provider Partners Health Plan [7025] $191 107%
Alternative Service Concepts [8005] $221 123%
Oscar Insurance Company [2057] $229 128%
Bright Healthcare [2222] $247 138%
Molina [3017] $256 143%
Wellpoint Marketplace Exchange [3071] $274 153%
Kempton Group Administrators, Tower Extrusions [3061] $282 157%
90 Degree Benefit [3057] $291 162%
Allied National [2031] $291 162%
Entrust/90 Degree [2058] $291 162%
Ambetter / Centene $302 169%
Imperial Insurance Companies [3073] $318 177%
Web Tpa [3049] $327 - $1,445 182%
Department Of Labor [8004] $353 197%
Evry Health [1013] $353 197%
Generic Workers Comp Tx Non Par [9010] $353 197%
Generic Workers Comp Tx Par [8002] $353 197%
Generic Workers Comp Tx Par [9011] $353 197%
Sana Benefits [3069] $353 197%
Tristar Risk Management [8006] $353 197%
Velocity [3070] $353 197%
Health Plans Inc [5017] $441 246%
Medical Cost Containment Professionals [3059] $441 246%
Dart Member Care [3039] $477 266%
Healthscope Benefits [2052] $477 266%
Healthscope Benefits [3063] $477 266%
Friday Health Plan [2061] $500 279%
Medicaid / KanCare $616 - $748 344%
Bind Benefits Inc [1004] $908 507%
Definity Health [3006] $908 507%
Freedom Life Insurance Company [2029] $908 507%
Geha Federal [3066] $908 507%
Tml Intergovernmental Employee Benefits [3050] $908 507%
Scott & White Health Plan Trs [3062] $2,605 1454%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 421 E State Highway 114, Southlake, TX 76092
  • CMS Rating: No CMS Rating
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals