CMS Price Transparency Data

CT scan, head (with contrast)

Facility: Oroville Hospital

Billing Code: 70460 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70460
Insurance Median: $202
Cash Discount Price: $1,033
vs. Medicare Baseline: 1.13x Medicare

The contracted insurance negotiated median rate for a CT scan, head (with contrast) at Oroville Hospital is $202. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,033. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 1.13x the Medicare baseline. Located in 2767 Olive Highway, Oroville, CA.

Cash / Self-Pay

$1,033

Average discount available for prompt cash payment at this facility.

Insurance Median

$202

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: $1,033 (576%)

Insurance Median: $202 (113%)

Cash: $1,033 (576% of Medicare)

Ins. Median: $202 (113% 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	$56 - $4,315	31%
Butte County	$72 - $1,366	40%
Cigna	$166 - $3,138	93%
Coventry Health Care	$166 - $3,138	93%
Health Net	$166 - $3,138	93%
Multiplan	$166 - $3,138	93%
Aetna	$175	98%
Community Care	$175	98%
Nivano Physicians Inc	$175	98%
UnitedHealthcare	$175 - $3,335	98%
Interplan	$177 - $3,335	99%
Three Rivers Provider Network	$177 - $3,335	99%
Beech Street	$187 - $3,531	104%
Healthstar	$187 - $3,531	104%
River City Medical Group	$193	108%
Health Payors Organization	$198 - $3,727	110%
Blue Shield Of California	$202 - $3,805	113%
Partnership Healthplan Of California	$289	161%
Blue Shield Value Network	$571	319%

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 $1,033.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 70460.

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 70460.
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.