CMS Price Transparency Data

CT scan, sinuses

Facility: Adventist Health Hanford

Billing Code: 70486 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70486
  • Insurance Median: $209
  • Cash Discount Price: $451
  • vs. Medicare Baseline: 1.96x Medicare
The contracted insurance negotiated median rate for a CT scan, sinuses at Adventist Health Hanford is $209. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $451. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.96x the Medicare baseline. Located in 115 Mall Drive, Hanford, CA.
Cash / Self-Pay
$451

Average discount available for prompt cash payment at this facility.

Insurance Median
$209

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: $451 (422%)
Insurance Median: $209 (196%)
Cash: $451 (422% of Medicare)
Ins. Median: $209 (196% 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.

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
Cigna $22 - $1,879 21%
Blue Shield Mcr Adv $40 - $134 37%
Fhcn Pace Mcr Adv-All Plans $40 - $134 37%
Prime Health Mcr Adv- All Plans $40 - $134 37%
Tricare $40 - $134 37%
UnitedHealthcare $40 - $1,328 37%
Central Valley Med Prov Profee Only-All Plans $42 39%
Ah Employee Health Plan - All Plans $44 - $242 41%
Kaiser - All Other Plans $55 - $1,582 51%
Kaiser Mcr Adv $55 - $134 51%
Healthnet - All Other Plans $59 - $1,690 55%
Western Growers/Pinnacle- All Plans $60 - $1,455 56%
Blue Shield Epn $73 - $1,487 68%
Blue Shield Non-Epn - All Other Plans $77 - $1,629 72%
Blue Cross Blue Shield $100 - $1,180 94%
Bc Mcal $119 - $123 111%
Healthnet Mcal $123 - $273 115%
Kaiser Mcal $123 - $209 115%
Medi-Cal $123 - $209 115%
Universal Hc Mcal Profee $123 115%
Upn Mcal Profee $123 115%
Healthnet Mcr Adv $134 125%
Key Medical Mcr Adv $134 125%
Universal Hc Mcr Adv Profee - All Other Plans $134 125%
Upn Mcr Adv Profee - All Other Plans $134 125%
Valley Childrens - All Plans $160 - $351 150%
Key Medical Group Commercial - All Other Plans $161 151%
Aetna $178 - $2,246 167%
Bright Health Mcr Adv-All Plans $211 198%
Fresno - All Plans $344 322%
Phcs Ppo- All Plans $1,542 - $2,057 1444%
Community Hlth Ntwork-All Plans $1,590 - $2,120 1489%
First Health - All Plans $1,851 - $2,468 1733%
Choicecare- All Plans $1,946 - $2,594 1822%
Multiplan- All Plans $1,970 - $2,626 1844%
Interplan- All Plans $1,993 - $2,658 1866%
Beech Street- All Plans $2,017 - $2,689 1888%
Preferred Health Network- All Plans $2,254 - $3,006 2110%
Pacific Health Alliance- All Plans $2,302 - $3,069 2155%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 115 Mall Drive, Hanford, CA 93230
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals