CMS Price Transparency Data

CT scan, head (with and without contrast)

Facility: Adventist Health Sonora

Billing Code: 70470 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70470
  • Insurance Median: $242
  • Cash Discount Price: $534
  • vs. Medicare Baseline: 1.35x Medicare
The contracted insurance negotiated median rate for a CT scan, head (with and without contrast) at Adventist Health Sonora is $242. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $534. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 1.35x the Medicare baseline. Located in 1000 Greenley Road, Sonora, CA.
Cash / Self-Pay
$534

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: $534 (298%)
Insurance Median: $242 (135%)
Cash: $534 (298% 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.

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 $59 - $242 33%
Central Ca Alliance Mcr Adv Profee Only $59 33%
Healthnet Mcr Adv $59 - $242 33%
Tricare $59 - $242 33%
UnitedHealthcare $59 - $5,203 33%
Ah Employee Health Plan - All Plans $65 - $435 36%
Cigna $73 - $5,748 41%
Greatwest Oa/Pos/Hmo $77 - $5,143 43%
Greatwest Ppo - All Other Plans $77 - $5,446 43%
Healthnet - All Other Plans $87 - $5,301 49%
Western Growers/Pinnacle - All Plans $89 - $3,207 50%
Blue Shield Epn $110 - $4,587 61%
Blue Shield - All Other Plans $116 - $4,599 65%
Bc Mcal $168 94%
Celtic Ca Hlth Well Mcal - All Plans $168 - $342 94%
Central Ca Alliance Mcal $168 - $281 94%
Healthnet Mcal $168 - $369 94%
Medi-Cal $168 - $248 94%
Beech Street- All Plans $212 - $5,143 118%
Trpn - Three Rivers Ppo - All Plans $212 - $4,841 118%
Central Ca Alliance Ccs Mcal $236 - $281 132%
Central Ca Alliance Chdp Mcal $236 - $281 132%
Central Ca Alliance Comm Profee Only-All Other Pla $236 132%
Aetna $242 - $3,885 135%
Phs Prime Health Srvcs-All Plans $242 135%
Bc Exchange $1,013 565%
Bc Non-Mcs - All Other Plans $1,125 628%
Bc Mcs $1,350 753%
Kaiser - All Plans $3,026 1689%
Affordable Health - All Plans $5,446 3039%
Interplan - All Plans $5,446 3039%
Multiplan - All Plans $5,446 3039%
Phcs Ppo - All Plans $5,446 3039%
Stanilaus Foundation - All Plans $5,748 3208%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1000 Greenley Road, Sonora, CA 95370
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals