CMS Price Transparency Data

CT scan, head (with and without contrast)

Facility: Ventura County Medical Center

Billing Code: 70470 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70470
  • Insurance Median: $1,649
  • Cash Discount Price: $2,423
  • vs. Medicare Baseline: 9.20x Medicare
The contracted insurance negotiated median rate for a CT scan, head (with and without contrast) at Ventura County Medical Center is $1,649. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,423. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 9.20x the Medicare baseline. Located in 300 Hillmont Avenue, Ventura, CA.
Cash / Self-Pay
$2,423

Average discount available for prompt cash payment at this facility.

Insurance Median
$1,649

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: $2,423 (1352%)
Insurance Median: $1,649 (920%)
Cash: $2,423 (1352% of Medicare)
Ins. Median: $1,649 (920% 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 920% of the Medicare baseline (a markup of 820%). 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 $219 122%
Alignment Hp - All Plans $226 126%
Blue Shield Mcr Adv $226 126%
Humana $226 126%
UnitedHealthcare $232 - $2,978 129%
Healthnet Mcr Adv $237 132%
Hpn Ip/Op Only Medi-Cal $248 138%
Kaiser Medi-Cal Ip/Op Only $248 138%
Medi-Cal $248 138%
Clinicas Mcr Adv $257 143%
Americas Hp Mcr Adv Ip/Op Only $259 145%
Scan-All Plans $271 151%
Kaiser Mcal Pediatric Ip/Op Only $272 152%
Western Growers-All Plans $282 157%
Clinicas Comm - All Other Plans $293 164%
Imperial-All Plans $293 164%
Ntwrk Provdrs-All Plans $293 164%
Clinicas Mcal $310 173%
Americas Hp Mcal Ip/Op Only $322 180%
Americas Hp Comm Ip/Op Only-All Other Plans $338 189%
Gold Coast Medi-Cal-All Plans $437 244%
Vchcp-All Plans $808 - $1,034 451%
Blue Shield Comm - All Other Plans $814 454%
Cigna $1,190 664%
Blue Shield Epn $1,649 - $2,111 920%
Healthnet Comm-All Other Plans $2,338 - $2,993 1305%
Kaiser Comm Pediatric Ip/Op Only $2,338 - $2,993 1305%
Aetna $2,466 - $5,441 1376%
Blue Cross Blue Shield $2,557 - $3,273 1427%
Multiplan/Claritev-All Plans $3,401 - $4,353 1898%
Three Rivers Ip/Op Only-All Plans $3,401 - $4,353 1898%
Ppo Next Ip/Op Only-All Plans $3,826 - $4,897 2135%
Kaiser Mcr Pediatric Ip/Op Only $4,251 - $5,441 2372%
Medicare (plans) $4,251 - $5,441 2372%
Hpn Comm Ip/Op Only-All Other Plans $6,036 - $7,726 3368%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 300 Hillmont Avenue, Ventura, CA 93003
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Government - Local
  • Hospital Type: Acute Care Hospitals