CMS Price Transparency Data

CT scan, head (with and without contrast)

Facility: Adventist Health St Helena

Billing Code: 70470 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70470
Insurance Median: $2,713
Cash Discount Price: $918
vs. Medicare Baseline: 15.14x Medicare

The contracted insurance negotiated median rate for a CT scan, head (with and without contrast) at Adventist Health St Helena is $2,713. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $918. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 15.14x the Medicare baseline. Located in 10 Woodland Road, Saint Helena, CA.

Cash / Self-Pay

$918

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,713

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: $918 (512%)

Insurance Median: $2,713 (1514%)

Cash: $918 (512% of Medicare)

Ins. Median: $2,713 (1514% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 1514% of the Medicare baseline (a markup of 1414%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
Cigna	$33 - $6,854	18%
Blue Shield Bh Mcr Adv	$65 - $233	36%
Blue Shield Mcr Adv	$65 - $233	36%
Kaiser Mcr Adv	$65 - $233	36%
Tricare	$65 - $233	36%
Ah Employee Health Plan - All Plans	$71 - $419	40%
Interplan-All Plans	$78 - $5,450	44%
Kaiser-All Other Plans	$78 - $7,025	44%
Western Growers-All Plans	$96 - $4,541	54%
Blue Shield Epn-All Other Plans	$117 - $4,035	65%
Blue Shield Non-Epn	$124 - $3,975	69%
Phcs-All Plans	$144 - $4,712	80%
Medi-Cal	$168	94%
Health Management Network-All Plans	$223 - $7,282	124%
UnitedHealthcare	$233 - $5,461	130%
Va Mcr - All Other Plans	$233	130%
Three Rivers-All Plans	$236 - $7,710	132%
Va Medi-Cal	$248	138%
Aetna	$389 - $1,621	217%
Healthnet-All Plans	$1,060	592%
Blue Cross Blue Shield	$1,081 - $1,442	603%
Blue Shield Behav Hlth	$2,754 - $3,855	1537%
Choicecare-All Plans	$4,284 - $5,997	2391%
Beech Street-All Plans	$4,590 - $6,425	2561%
Galaxy Network-All Plans	$5,508 - $7,710	3074%

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 $918.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 70470.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Adventist Health St Helena is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 70470.
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.