CMS Price Transparency Data

CT scan, head (with and without contrast)

Facility: Adventist Health Lodi Memorial

Billing Code: 70470 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70470
  • Insurance Median: $245
  • Cash Discount Price: $312
  • vs. Medicare Baseline: 1.37x Medicare
The contracted insurance negotiated median rate for a CT scan, head (with and without contrast) at Adventist Health Lodi Memorial is $245. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $312. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 1.37x the Medicare baseline. Located in 975 S Fairmont Avenue, Lodi, CA.
Cash / Self-Pay
$312

Average discount available for prompt cash payment at this facility.

Insurance Median
$245

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: $312 (174%)
Insurance Median: $245 (137%)
Cash: $312 (174% of Medicare)
Ins. Median: $245 (137% 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
Cigna $33 - $9,540 18%
Alignment Health Plan (Ahp)-All Plans $59 - $231 33%
Blue Shield Mcare Adv $59 - $231 33%
Healthnet Mcare $59 - $231 33%
Hp Of San Joaquin Mcr Adv $59 - $231 33%
Humana $59 - $231 33%
Knnex Health - All Plans $59 - $278 33%
Tricare $59 - $231 33%
UnitedHealthcare $59 - $4,400 33%
Hp Healthy Kids Pro Fee $62 35%
Ah Employee Health Plan - All Plans $65 - $416 36%
First Health- All Plans $71 - $5,500 40%
Beech Street- All Plans $77 - $9,540 43%
Hp Of San Joaquin Ppo - All Other Plans $77 - $10,070 43%
Multiplan- All Plans $77 - $8,480 43%
Kaiser Commercial - All Other Plans $80 - $4,346 45%
Kaiser Mcr Adv $80 - $231 45%
Networks By Design- All Plans $80 - $3,500 45%
Healthnet- All Other Plans $87 - $5,206 49%
Western Growers- All Plans $91 - $9,540 51%
Blue Shield Epn - All Other Plans $110 - $3,434 61%
Blue Cross Blue Shield $112 - $2,206 63%
Blue Shield Non-Epn $116 - $3,562 65%
Bc Mcal $136 - $168 76%
Celtic Ins Company - All Plans $168 - $277 94%
Kaiser Mcal $168 - $248 94%
Medi-Cal $168 - $248 94%
Hp Mcal Pro Fee $185 103%
Healthnet Mcal $202 - $354 113%
Hp Of San Joaquin Mcal $202 - $310 113%
Cca Health Plan Mcr Adv- All Plans $231 129%
Aetna $359 - $2,956 200%
Bright Health - All Plans $463 258%
Medcore(Omni Ipa) Op Only- All Plans $1,158 - $2,756 646%
Three Rivers Provider Network- All Plans $4,010 - $9,540 2238%

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