CMS Price Transparency Data

CT scan, head (no contrast)

Facility: Adventist Health St Helena

Billing Code: 70450 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70450
  • Insurance Median: $1,845
  • Cash Discount Price: $624
  • vs. Medicare Baseline: 17.27x Medicare
The contracted insurance negotiated median rate for a CT scan, head (no contrast) at Adventist Health St Helena is $1,845. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $624. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 17.27x the Medicare baseline. Located in 10 Woodland Road, Saint Helena, CA.
Cash / Self-Pay
$624

Average discount available for prompt cash payment at this facility.

Insurance Median
$1,845

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: $624 (584%)
Insurance Median: $1,845 (1727%)
Cash: $624 (584% of Medicare)
Ins. Median: $1,845 (1727% 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 1727% of the Medicare baseline (a markup of 1627%). 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
Cigna $22 - $5,690 21%
Blue Shield Bh Mcr Adv $44 - $139 41%
Blue Shield Mcr Adv $44 - $139 41%
Kaiser Mcr Adv $44 - $139 41%
Tricare $44 - $139 41%
Ah Employee Health Plan - All Plans $48 - $250 45%
Interplan-All Plans $52 - $4,623 49%
Kaiser-All Other Plans $52 - $5,833 49%
Western Growers-All Plans $64 - $3,770 60%
Blue Shield Epn-All Other Plans $78 - $3,350 73%
Blue Shield Non-Epn $83 - $3,300 78%
Phcs-All Plans $96 - $3,912 90%
Medi-Cal $101 95%
UnitedHealthcare $139 - $4,535 130%
Va Mcr - All Other Plans $139 130%
Health Management Network-All Plans $149 - $6,046 140%
Three Rivers-All Plans $158 - $6,402 148%
Va Medi-Cal $166 155%
Aetna $244 - $1,016 228%
Blue Cross Blue Shield $722 - $963 676%
Healthnet-All Plans $1,060 992%
Blue Shield Behav Hlth $1,873 - $3,201 1754%
Choicecare-All Plans $2,913 - $4,979 2727%
Beech Street-All Plans $3,122 - $5,335 2923%
Galaxy Network-All Plans $3,746 - $6,402 3507%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 10 Woodland Road, Saint Helena, CA 94574
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals