CMS Price Transparency Data

CT scan, head (with and without contrast)

Facility: Adventist Health Reedley

Billing Code: 70470 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70470
  • Insurance Median: $226
  • Cash Discount Price: $517
  • vs. Medicare Baseline: 1.26x Medicare
The contracted insurance negotiated median rate for a CT scan, head (with and without contrast) at Adventist Health Reedley is $226. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $517. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 1.26x the Medicare baseline. Located in 372 W Cypress Ave, Reedley, CA.
Cash / Self-Pay
$517

Average discount available for prompt cash payment at this facility.

Insurance Median
$226

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: $517 (289%)
Insurance Median: $226 (126%)
Cash: $517 (289% of Medicare)
Ins. Median: $226 (126% 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.

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 $33 - $3,381 18%
Blue Shield Mcare $59 - $226 33%
Fhcn Pace Mcr Adv-All Plans $59 - $226 33%
Lasalle Med Assoc Profee Only - All Plans $59 33%
Tricare $59 - $226 33%
UnitedHealthcare $59 - $2,187 33%
Upn Mcr Adv Profee Only $59 33%
Ah Employee Health Plan - All Plans $65 - $406 36%
Community Care Ipa Mcal-All Plans $71 - $322 40%
Kaiser - All Other Plans $80 - $2,600 45%
Kaiser Mcr Adv $80 - $226 45%
Healthnet- All Other Plans $87 - $2,262 49%
Western Growers/Pinnacle- All Plans $89 - $2,392 50%
Blue Shield Epn - All Other Plans $110 - $2,299 61%
Blue Cross Blue Shield $112 - $1,749 63%
Blue Shield Non Epn $116 - $2,663 65%
Bc Mcal $133 - $168 74%
Cal Viva Hlth Mcal - All Plans $168 - $248 94%
Central Ca Alliance Mcal Profee Only $168 94%
Dignity Mcal Op/Profee Only-All Other Plans $168 - $272 94%
Medi-Cal $168 - $248 94%
Upn Mcal Profee Only-All Other Plans $168 94%
Physicians Med Group Op/Profee Only- All Plans $189 - $4,161 105%
Kern Health Systems Mcal-All Plans $210 - $248 117%
Dignity Mcr Adv Op/Profee Only $226 126%
Healthnet- Mcr Adv $226 126%
Phs Prime Health Srvcs $226 126%
Aetna $227 - $2,199 127%
Central Ca Alliance Ccs Profee Only $236 132%
Central Ca Alliance Chdp Profee Only $236 132%
Central Ca Alliance Comm Profee Only - All Other P $236 132%
Bright Health Mcr Adv - All Plans $354 198%
Healthnet Medi-Cal $596 333%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 372 W Cypress Ave, Reedley, CA 93654
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals