Procedure Name: CT Scan Head W/O Contrast	Hospital Charge: $1,794
Type of Service: Outpatient	Professional Charge: Not Included in estimate.
Insurance: Medicare

This estimate is based on the patient having Medicare coverage only and does not include the professional charges associated with the procedure. The hospital charge is the only charge included in the estimate. It is the patient's responsibility to inquire about any additional charges. For more information please call Admissions at (956) 389-1656.

Part B Deductible: $131
Coinsurance: $332.60

Estimate of how much you will owe: $463.60
Please note: This estimate does not include supplemental insurance or professional charges. For more information please contact Admissions at (956) 389-1656.

Disclaimer:
The estimate cost is based on hospital charges for the procedure selected and Medicare coverage only. This estimate does not include professional charges, pre-procedure office visits, or diagnostic testing.

If you have met all or part of your deductible or maximum out-of-pocket expenses, the actual amount you owe may be different.

Note: The estimated cost is not a guarantee of insurance coverage. Please check with your insurance provider if you need help understanding your benefits for the service chosen.