CMS Price Transparency Data

CT scan, head (with and without contrast)

Facility: Oak Valley Hospital District

Billing Code: 70470 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70470
Insurance Median: $3,282
Cash Discount Price: $4,244
vs. Medicare Baseline: 18.31x Medicare

The contracted insurance negotiated median rate for a CT scan, head (with and without contrast) at Oak Valley Hospital District is $3,282. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $4,244. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 18.31x the Medicare baseline. Located in 350 S Oak Ave, Oakdale, CA.

Cash / Self-Pay

$4,244

Average discount available for prompt cash payment at this facility.

Insurance Median

$3,282

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: $4,244 (2368%)

Insurance Median: $3,282 (1831%)

Cash: $4,244 (2368% of Medicare)

Ins. Median: $3,282 (1831% 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 1831% of the Medicare baseline (a markup of 1731%). 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
Alignment Op Only Ip/Op Only-All Plans	$226	126%
Humana	$226	126%
Kaiser Mcr Adv Ip/Op Only	$226	126%
Scan Health Plan Ip/Op Only-All Plans	$230	128%
Blue Cross Blue Shield	$248 - $5,092	138%
Healthnet Medi-Cal Ip/Op Only	$248	138%
Imperial Health Ip/Op Only-All Plans	$248	138%
Kaiser Medi-Cal Ip/Op Only	$248	138%
Medi-Cal Ip/Op Only	$248	138%
Hp Of San Joaquin Ip/Op Only-All Plans	$297	166%
Blue Shield Epn Ip/Op Only	$3,061	1708%
Healthnet Comm Op Only Ip/Op Only-All Other Plans	$3,282	1831%
Kaiser Comm Ip/Op Only-All Other Plans	$3,508	1958%
Blue Shield/Bcout Ip/Op Only-All Other Plans	$3,734	2084%
Cigna	$3,791	2116%
UnitedHealthcare	$3,961	2210%
Aetna	$4,815	2687%

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 $4,244.
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 Oak Valley Hospital District 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.