CMS Price Transparency Data

CT scan, head (with contrast)

Facility: CHI St Lukes Health Memorial San Augustine

Billing Code: 70460 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70460
Insurance Median: $346
Cash Discount Price: $1,142
vs. Medicare Baseline: 1.93x Medicare

The contracted insurance negotiated median rate for a CT scan, head (with 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 $1,142. 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

$1,142

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: $1,142 (637%)

Insurance Median: $346 (193%)

Cash: $1,142 (637% 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.

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
Aetna	$162 - $1,902	90%
Humana	$162 - $5,327	90%
Wellpoint	$167 - $346	93%
Cigna	$170 - $1,103	95%
Blue Cross Blue Shield	$177 - $727	99%
United	$177 - $7,610	99%
Scanhealth	$180	100%
Md Save	$203	113%
Superior	$221 - $346	123%
Tchp	$227	127%
Angelina County	$442	247%
Brookshire Brothers	$486	271%
PHCS	$5,175 - $6,088	2888%
Multiplan	$5,327	2973%
Galaxy	$6,849	3822%
Entrust	$7,914	4416%

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 $1,142.
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 CHI St Lukes Health Memorial San Augustine 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.