CMS Price Transparency Data

CT scan, head (no contrast)

Facility: Adventist Health Lodi Memorial

Billing Code: 70450 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70450
  • Insurance Median: $148
  • Cash Discount Price: $165
  • vs. Medicare Baseline: 1.39x Medicare
The contracted insurance negotiated median rate for a CT scan, head (no contrast) at Adventist Health Lodi Memorial is $148. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $165. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.39x the Medicare baseline. Located in 975 S Fairmont Avenue, Lodi, CA.
Cash / Self-Pay
$165

Average discount available for prompt cash payment at this facility.

Insurance Median
$148

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: $165 (154%)
Insurance Median: $148 (139%)
Cash: $165 (154% of Medicare)
Ins. Median: $148 (139% 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.

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 - $7,421 21%
Alignment Health Plan (Ahp)-All Plans $40 - $138 37%
Blue Shield Mcare Adv $40 - $138 37%
Healthnet Mcare $40 - $138 37%
Hp Of San Joaquin Mcr Adv $40 - $138 37%
Humana $40 - $138 37%
Knnex Health - All Plans $40 - $165 37%
Tricare $40 - $138 37%
UnitedHealthcare $40 - $3,423 37%
Hp Healthy Kids Pro Fee $42 39%
Ah Employee Health Plan - All Plans $44 - $248 41%
First Health- All Plans $48 - $5,500 45%
Beech Street- All Plans $52 - $7,421 49%
Hp Of San Joaquin Ppo - All Other Plans $52 - $7,834 49%
Multiplan- All Plans $52 - $6,597 49%
Kaiser Commercial - All Other Plans $54 - $3,381 51%
Kaiser Mcr Adv $54 - $138 51%
Networks By Design- All Plans $54 - $3,500 51%
Healthnet- All Other Plans $58 - $4,050 54%
Western Growers- All Plans $61 - $7,421 57%
Blue Shield Epn - All Other Plans $73 - $2,672 68%
Blue Cross Blue Shield $75 - $1,474 70%
Blue Shield Non-Epn $77 - $2,771 72%
Bc Mcal $101 - $117 95%
Celtic Ins Company - All Plans $101 - $186 95%
Kaiser Mcal $101 - $166 95%
Medi-Cal $101 - $166 95%
Hp Mcal Pro Fee $111 104%
Healthnet Mcal $122 - $237 114%
Hp Of San Joaquin Mcal $122 - $207 114%
Cca Health Plan Mcr Adv- All Plans $138 129%
Aetna $225 - $1,852 211%
Bright Health - All Plans $276 258%
Medcore(Omni Ipa) Op Only- All Plans $612 - $2,144 573%
Three Rivers Provider Network- All Plans $2,118 - $7,421 1983%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 975 S Fairmont Avenue, Lodi, CA 95240
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals