CMS Price Transparency Data

CT scan, head (with contrast)

Facility: Adventist Health Sonora

Billing Code: 70460 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70460
  • Insurance Median: $242
  • Cash Discount Price: $508
  • vs. Medicare Baseline: 1.35x Medicare
The contracted insurance negotiated median rate for a CT scan, head (with contrast) at Adventist Health Sonora is $242. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $508. 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
$508

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: $508 (283%)
Insurance Median: $242 (135%)
Cash: $508 (283% 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 $53 - $242 30%
Central Ca Alliance Mcr Adv Profee Only $53 30%
Healthnet Mcr Adv $53 - $242 30%
Tricare $53 - $242 30%
UnitedHealthcare $53 - $4,963 30%
Ah Employee Health Plan - All Plans $58 - $435 32%
Cigna $65 - $5,483 36%
Greatwest Oa/Pos/Hmo $69 - $4,906 39%
Greatwest Ppo - All Other Plans $69 - $5,195 39%
Healthnet - All Other Plans $77 - $5,056 43%
Western Growers/Pinnacle - All Plans $79 - $3,059 44%
Blue Shield Epn $97 - $4,375 54%
Blue Shield - All Other Plans $103 - $4,387 57%
Bc Mcal $143 80%
Celtic Ca Hlth Well Mcal - All Plans $143 - $299 80%
Central Ca Alliance Mcal $143 - $246 80%
Healthnet Mcal $143 - $323 80%
Medi-Cal $143 - $217 80%
Beech Street- All Plans $189 - $4,906 105%
Trpn - Three Rivers Ppo - All Plans $189 - $4,618 105%
Central Ca Alliance Ccs Mcal $210 - $246 117%
Central Ca Alliance Chdp Mcal $210 - $246 117%
Central Ca Alliance Comm Profee Only-All Other Pla $210 117%
Aetna $242 - $3,885 135%
Phs Prime Health Srvcs-All Plans $242 135%
Bc Exchange $812 453%
Bc Non-Mcs - All Other Plans $902 503%
Bc Mcs $1,082 604%
Kaiser - All Plans $2,886 1610%
Affordable Health - All Plans $5,195 2899%
Interplan - All Plans $5,195 2899%
Multiplan - All Plans $5,195 2899%
Phcs Ppo - All Plans $5,195 2899%
Stanilaus Foundation - All Plans $5,483 3060%

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