CMS Price Transparency Data

CT scan, head (no contrast)

Facility: Adventist Health Simi Valley

Billing Code: 70450 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70450
  • Insurance Median: $1,408
  • Cash Discount Price: $866
  • vs. Medicare Baseline: 13.18x Medicare
The contracted insurance negotiated median rate for a CT scan, head (no contrast) at Adventist Health Simi Valley is $1,408. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $866. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 13.18x the Medicare baseline. Located in 2975 N Sycamore Dr, Simi Valley, CA.
Cash / Self-Pay
$866

Average discount available for prompt cash payment at this facility.

Insurance Median
$1,408

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: $866 (811%)
Insurance Median: $1,408 (1318%)
Cash: $866 (811% of Medicare)
Ins. Median: $1,408 (1318% 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 1318% of the Medicare baseline (a markup of 1218%). 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
Blue Shield Mcare $134 125%
Facey Medical Mdcare $134 125%
Medicare (plans) $134 125%
Tricare $134 125%
UnitedHealthcare $134 - $2,247 125%
Facey Medical Hmo/Pos - All Other Plans $161 151%
Ehn - All Plans $180 169%
Gold Coast Mcal - All Plans $204 191%
Ah Employee Health Plan - All Plans $242 227%
Centivo - All Plans $303 284%
Cigna $539 505%
Hpn Senior Hmo $580 543%
Hpn - All Other Plans $747 699%
Bc Exchange $755 707%
Bc Non Mcs $839 786%
Bc Mcs - All Other Plans $1,006 942%
Health Net - All Plans $1,810 1695%
Vchcp - All Plans $2,166 2028%
Western Growers - All Plans $2,274 2129%
Blue Shield - All Other Plans $2,485 2327%
Scan Mcr Adv - All Plans $2,500 2341%
Kaiser - All Plans $2,707 2534%
Aetna $2,978 2788%
First Health - All Plans $3,519 3295%
Phcs Ppo - All Plans $3,519 3295%
Beech Street Ppo - All Plans $4,060 3801%
Choicecare Ppo - All Plans $4,060 3801%
Corvel Corp - All Plans $4,331 4055%
Interplan Ppo - All Plans $4,331 4055%
Multiplan Ppo - All Plans $4,494 4207%
Ahf - All Plans $4,602 4309%
Hmn Ppo/Epo - All Plans $4,602 4309%
Trpn Ppo - All Plans $4,602 4309%
Fpn Ppo - All Plans $4,873 4562%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2975 N Sycamore Dr, Simi Valley, CA 93065
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals