CMS Price Transparency Data

CT scan, head (no contrast)

Facility: Adventist Health Ukiah Valley

Billing Code: 70450 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70450
Insurance Median: $166
Cash Discount Price: $441
vs. Medicare Baseline: 1.55x Medicare

The contracted insurance negotiated median rate for a CT scan, head (no contrast) at Adventist Health Ukiah Valley is $166. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $441. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.55x the Medicare baseline. Located in 275 Hospital Drive, Ukiah, CA.

Cash / Self-Pay

$441

Average discount available for prompt cash payment at this facility.

Insurance Median

$166

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: $441 (413%)

Insurance Median: $166 (155%)

Cash: $441 (413% of Medicare)

Ins. Median: $166 (155% 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.

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
Cigna	$22 - $3,319	21%
Blue Shield Mcr Adv	$40 - $144	37%
Kaiser Mcr Adv	$40 - $144	37%
Tricare	$40 - $144	37%
Ah Employee Health Plan - All Plans	$44 - $259	41%
UnitedHealthcare	$53 - $3,557	50%
Healthnet-All Plans	$58 - $2,434	54%
Western Growers-All Plans	$59 - $1,787	55%
Blue Shield Epn-All Other Plans	$73 - $1,167	68%
Blue Shield Non-Epn	$77 - $1,198	72%
Kaiser Medi-Cal	$101 - $166	95%
Medi-Cal	$101 - $166	95%
Mendocino Lcc District-All Plans	$103 - $2,766	96%
Kaiser-All Other Plans	$126 - $3,404	118%
Aetna	$142 - $929	133%
Three Rivers-All Plans	$142 - $3,830	133%
Blue Cross Blue Shield	$765 - $1,020	716%
Foundation For Medical Care-All Plans	$3,191	2988%
Networks By Design-All Plans	$3,404	3187%
Phcs Multiplan-All Plans	$3,404	3187%
Interplan-All Plans	$3,489	3267%
Beech Street-All Plans	$3,617	3386%
Choice Care-All Plans	$3,617	3386%
Health Mgmt Network-All Plans	$3,617	3386%

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 $441.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 70450.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Adventist Health Ukiah Valley is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 70450.
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.