CMS Price Transparency Data

CT scan, head (with and without contrast)

Facility: Oroville Hospital

Billing Code: 70470 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70470
Insurance Median: $226
Cash Discount Price: $1,040
vs. Medicare Baseline: 1.26x Medicare

The contracted insurance negotiated median rate for a CT scan, head (with and without contrast) at Oroville Hospital is $226. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,040. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 1.26x the Medicare baseline. Located in 2767 Olive Highway, Oroville, CA.

Cash / Self-Pay

$1,040

Average discount available for prompt cash payment at this facility.

Insurance Median

$226

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: $1,040 (580%)

Insurance Median: $226 (126%)

Cash: $1,040 (580% of Medicare)

Ins. Median: $226 (126% 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
Blue Cross Blue Shield	$63 - $4,315	35%
Butte County	$81 - $1,366	45%
Aetna	$175	98%
Community Care	$175	98%
Nivano Physicians Inc	$175	98%
UnitedHealthcare	$175 - $3,335	98%
Cigna	$186 - $3,138	104%
Coventry Health Care	$186 - $3,138	104%
Health Net	$186 - $3,138	104%
Multiplan	$186 - $3,138	104%
River City Medical Group	$193	108%
Interplan	$198 - $3,335	110%
Three Rivers Provider Network	$198 - $3,335	110%
Beech Street	$210 - $3,531	117%
Healthstar	$210 - $3,531	117%
Health Payors Organization	$221 - $3,727	123%
Blue Shield Of California	$226 - $3,805	126%
Partnership Healthplan Of California	$289	161%
Blue Shield Value Network	$634	354%

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 $1,040.
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 Oroville Hospital 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.