CMS Price Transparency Data

CT scan, head (no contrast)

Facility: Sonoma Valley Hospital

Billing Code: 70450 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70450
  • Insurance Median: $2,539
  • Cash Discount Price: $3,710
  • vs. Medicare Baseline: 23.77x Medicare
The contracted insurance negotiated median rate for a CT scan, head (no contrast) at Sonoma Valley Hospital is $2,539. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,710. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 23.77x the Medicare baseline. Located in 347 Andrieux St, Sonoma, CA.
Cash / Self-Pay
$3,710

Average discount available for prompt cash payment at this facility.

Insurance Median
$2,539

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$106.81

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $106.81 (100%)
Cash / Self-Pay: $3,710 (3473%)
Insurance Median: $2,539 (2377%)
Cash: $3,710 (3473% of Medicare)
Ins. Median: $2,539 (2377% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $106.81 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 2377% of the Medicare baseline (a markup of 2277%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash 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
Tricare $141 132%
Blue Cross Blue Shield $144 - $3,477 135%
Bright Hlth/Brand New Day Mcr Adv $144 135%
Hospice Of Marin-All Plans $144 135%
St Joseph Heritage Hltcare Comm-All Other Plans $144 135%
Veterans Admin-All Plans $144 135%
Marin General Comm/Mcr Adv (Western Hlth)-All Plan $151 141%
Medi-Cal $166 155%
Cdcr Prison-All Plans $173 162%
Three Rivers (Trpn)-All Plans $173 162%
Aetna $178 167%
First Health(Coventry)-All Plans $178 167%
Chp - Correctional Health Partners - All Plans $187 175%
Bright Hlth/Brand New Day - All Other Plands $194 182%
Wellpath - All Plans $201 188%
Canopy Bay Area Accountable Care Ntwrk (Baacn) - A $259 242%
Canopy Health Solutions-All Other Plans $259 242%
Mcal Mgd Care (Php)-All Plans $274 257%
UnitedHealthcare $486 455%
Partnership Healthplan-All Plans $581 544%
Comm Care Network(Ccn)-All Plans $1,000 936%
Healthnet Hmo/Ppo-All Other Plans $2,067 1935%
Blue Shield Ppo-All Plans $3,010 2818%
Kaiser-All Plans $3,445 3225%
Integrated Health Plan-All Plans $3,922 3672%
Champus-All Plans $4,240 3970%
Cigna $4,240 3970%
Networks By Design - All Plans $4,240 3970%
Great West-One Health Plan Ppo/Pos-All Plans $4,505 4218%
Phcs/Multiplan/Beech St-All Plans $4,505 4218%
Interplan-All Plans $4,664 4367%
Bps-All Plans $4,770 4466%
Ppo Alliance-All Plans $4,770 4466%
Pref Health Networl(Phn)-All Plans $4,770 4466%
Meritage Medical Network Op Only Mcare $5,300 4962%
Scan Mcare-All Plans $5,300 4962%
St Joseph Heritage Hltcare Mcr Adv $5,300 4962%
Correct Care Integ Health-All Plans $6,360 5954%
Employer Direct Healthcare-All Plans $6,360 5954%
Meritage Medical Network Op Only-All Other Plans $6,678 6252%
Creative Legal Services-All Plans $6,890 6451%
Canopy Op Only $9,540 8932%
Vnpn - All Plans $9,540 8932%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 347 Andrieux St, Sonoma, CA 95476
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals