CMS Price Transparency Data

CT scan, sinuses

Facility: Santa Clara Valley Medical Center

Billing Code: 70486 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$165
about 1.5× the $107 Medicare rate · typically $113–$404
modeled estimate · not a bill or quote
What this hospital charges insurers
$149
About the fair price
about $16 under the fair price · 1.4× Medicare
Medicare pays $107 Fair price $165 This hospital $149 Cash price $354 Hospital's list price $506

How we calculate the fair BaseRate →

How this hospital compares to other CA hospitals

Highest price of the 9 CA hospitals we have prices for — worth calling around.

Cheapest $36 Priciest $149

Black dot = this hospital, among the 9 CA hospitals with a price for this procedure. Full list below.

A fair price for a CT scan, sinuses is about $165 (about 1.5× the $107 Medicare rate). Santa Clara Valley Medical Center charges insurers about $149, or about $354 in cash — about the fair price. Located in San Jose, CA.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

4 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $56 52%
Blue Cross Blue Shieldmajor $472 442%
Aetnamajor $324 - $338 303%
Cignamajor $248 232%
Health Net $46 43%
+ 2 smaller / regional plans $46 - $359
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 751 South Bascom Avenue, San Jose, CA 95128
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Government - Local
  • Hospital Type: Acute Care Hospitals