CMS Price Transparency Data

CT scan, head (with and without contrast)

Facility: CHI St Lukes Health Memorial San Augustine

Billing Code: 70470 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70470
  • Insurance Median: $346
  • Cash Discount Price: $1,337
  • vs. Medicare Baseline: 1.93x Medicare
The contracted insurance negotiated median rate for a CT scan, head (with and without contrast) at CHI St Lukes Health Memorial San Augustine is $346. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,337. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 1.93x the Medicare baseline. Located in 511 Hospital St, San Augustine, TX.
Cash / Self-Pay
$1,337

Average discount available for prompt cash payment at this facility.

Insurance Median
$346

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: $1,337 (746%)
Insurance Median: $346 (193%)
Cash: $1,337 (746% of Medicare)
Ins. Median: $346 (193% 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
Aetna $162 - $2,228 90%
Humana $162 - $6,240 90%
Wellpoint $167 - $346 93%
Cigna $170 - $1,103 95%
Blue Cross Blue Shield $177 - $727 99%
United $177 - $8,914 99%
Scanhealth $180 100%
Md Save $203 113%
Superior $221 - $346 123%
Tchp $227 127%
Angelina County $442 247%
Brookshire Brothers $486 271%
PHCS $6,062 - $7,131 3383%
Multiplan $6,240 3482%
Galaxy $8,023 4477%
Entrust $9,271 5174%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 511 Hospital St, San Augustine, TX 75972
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Rural Emergency Hospital