CMS Price Transparency Data

CT scan, head (with contrast)

Facility: Adventist Health Ukiah Valley

Billing Code: 70460 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70460
Insurance Median: $242
Cash Discount Price: $491
vs. Medicare Baseline: 1.35x Medicare

The contracted insurance negotiated median rate for a CT scan, head (with contrast) at Adventist Health Ukiah Valley is $242. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $491. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 1.35x the Medicare baseline. Located in 275 Hospital Drive, Ukiah, CA.

Cash / Self-Pay

$491

Average discount available for prompt cash payment at this facility.

Insurance Median

$242

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: $491 (274%)

Insurance Median: $242 (135%)

Cash: $491 (274% of Medicare)

Ins. Median: $242 (135% 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.

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	$30 - $3,666	17%
Blue Shield Mcr Adv	$53 - $242	30%
Kaiser Mcr Adv	$53 - $242	30%
Tricare	$53 - $242	30%
Ah Employee Health Plan - All Plans	$58 - $435	32%
UnitedHealthcare	$70 - $3,929	39%
Healthnet-All Plans	$77 - $2,688	43%
Western Growers-All Plans	$78 - $1,974	44%
Blue Shield Epn-All Other Plans	$97 - $1,397	54%
Blue Shield Non-Epn	$103 - $1,434	57%
Mendocino Lcc District-All Plans	$136 - $3,055	76%
Kaiser Medi-Cal	$143 - $217	80%
Medi-Cal	$143 - $217	80%
Kaiser-All Other Plans	$168 - $3,760	94%
Aetna	$184 - $1,203	103%
Three Rivers-All Plans	$189 - $4,230	105%
Blue Cross Blue Shield	$917 - $1,223	512%
Foundation For Medical Care-All Plans	$3,525	1967%
Networks By Design-All Plans	$3,760	2098%
Phcs Multiplan-All Plans	$3,760	2098%
Interplan-All Plans	$3,854	2151%
Beech Street-All Plans	$3,995	2229%
Choice Care-All Plans	$3,995	2229%
Health Mgmt Network-All Plans	$3,995	2229%

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 $491.
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 Ukiah Valley 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.