CMS Price Transparency Data

CT scan, head (no contrast)

Facility: Graham Regional Medical Center

Billing Code: 70450 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70450
  • Insurance Median: $662
  • Cash Discount Price: $968
  • vs. Medicare Baseline: 6.20x Medicare
The contracted insurance negotiated median rate for a CT scan, head (no contrast) at Graham Regional Medical Center is $662. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $968. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 6.20x the Medicare baseline. Located in 1301 Montgomery Road, Graham, TX.
Cash / Self-Pay
$968

Average discount available for prompt cash payment at this facility.

Insurance Median
$662

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: $968 (906%)
Insurance Median: $662 (620%)
Cash: $968 (906% of Medicare)
Ins. Median: $662 (620% 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 620% of the Medicare baseline (a markup of 520%). 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
Amerigroup $236 - $366 221%
Choicecare Network $236 - $366 221%
Superior Healthplan $236 - $366 221%
Wellpoint $318 - $494 298%
Aetna $511 - $793 478%
Cigna $511 - $793 478%
Blue Cross Blue Shield $534 - $915 500%
Three Rivers Provider Network $668 - $1,037 625%
Health Advantage Network $707 - $1,098 662%
Healthsmart Preferred Care $707 - $1,098 662%
UnitedHealthcare $1,405 - $1,910 1315%
Curative $1,965 - $3,050 1840%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1301 Montgomery Road, Graham, TX 76450
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Critical Access Hospitals