CMS Price Transparency Data

CT scan, head (with contrast)

Facility: Adventist Health and Rideout

Billing Code: 70460 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70460
Insurance Median: $4,522
Cash Discount Price: $1,547
vs. Medicare Baseline: 25.23x Medicare

The contracted insurance negotiated median rate for a CT scan, head (with contrast) at Adventist Health and Rideout is $4,522. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,547. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 25.23x the Medicare baseline. Located in 726 4Th St, Marysville, CA.

Cash / Self-Pay

$1,547

Average discount available for prompt cash payment at this facility.

Insurance Median

$4,522

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: $1,547 (863%)

Insurance Median: $4,522 (2523%)

Cash: $1,547 (863% of Medicare)

Ins. Median: $4,522 (2523% 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 2523% of the Medicare baseline (a markup of 2423%). 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
Bc Mcal	$107	60%
Kaiser Mcal	$217	121%
Medi-Cal	$217	121%
Kaiser Mcr Adv	$226	126%
Tricare	$226	126%
UnitedHealthcare	$226 - $6,108	126%
Blue Cross Blue Shield	$229 - $1,657	128%
Ca Health And Wellness- All Plans	$269	150%
Celtic Mcaid-All Plans	$269	150%
Ah Employee Health Plan - All Plans	$407	227%
Healthnet Mcal	$1,406	785%
Healthnet Comm-All Other Plans	$4,522	2523%
Aetna	$4,972	2775%
Kaiser-All Other Plans	$5,344	2982%
Blue Shield Uc Care Members	$5,626	3140%
Cigna	$5,993	3344%
First Health-All Plans	$6,153	3434%
Phcs-All Plans	$6,188	3453%
Interplan-All Plans	$6,329	3532%
Blue Shield-All Other Plans	$6,680	3728%
Multiplan-All Plans	$6,680	3728%
Partnership Hp Mcal -All Plans	$11,603	6475%

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 $1,547.
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 Adventist Health and Rideout 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.