CMS Price Transparency Data

CT scan, head (with contrast)

Facility: Adventist Health Lodi Memorial

Billing Code: 70460 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70460
  • Insurance Median: $231
  • Cash Discount Price: $285
  • vs. Medicare Baseline: 1.29x Medicare
The contracted insurance negotiated median rate for a CT scan, head (with contrast) at Adventist Health Lodi Memorial is $231. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $285. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 1.29x the Medicare baseline. Located in 975 S Fairmont Avenue, Lodi, CA.
Cash / Self-Pay
$285

Average discount available for prompt cash payment at this facility.

Insurance Median
$231

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: $285 (159%)
Insurance Median: $231 (129%)
Cash: $285 (159% of Medicare)
Ins. Median: $231 (129% 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 $30 - $8,782 17%
Alignment Health Plan (Ahp)-All Plans $53 - $231 30%
Blue Shield Mcare Adv $53 - $231 30%
Healthnet Mcare $53 - $231 30%
Hp Of San Joaquin Mcr Adv $53 - $231 30%
Humana $53 - $231 30%
Knnex Health - All Plans $53 - $278 30%
Tricare $53 - $231 30%
UnitedHealthcare $53 - $4,051 30%
Hp Healthy Kids Pro Fee $56 31%
Ah Employee Health Plan - All Plans $58 - $416 32%
First Health- All Plans $63 - $5,500 35%
Beech Street- All Plans $69 - $8,782 39%
Hp Of San Joaquin Ppo - All Other Plans $69 - $9,270 39%
Multiplan- All Plans $69 - $7,806 39%
Kaiser Commercial - All Other Plans $71 - $4,001 40%
Kaiser Mcr Adv $71 - $231 40%
Networks By Design- All Plans $71 - $3,500 40%
Healthnet- All Other Plans $77 - $4,792 43%
Western Growers- All Plans $81 - $8,782 45%
Blue Shield Epn - All Other Plans $97 - $3,162 54%
Blue Cross Blue Shield $99 - $1,768 55%
Blue Shield Non-Epn $103 - $3,279 57%
Bc Mcal $136 - $143 76%
Celtic Ins Company - All Plans $143 - $243 80%
Kaiser Mcal $143 - $217 80%
Medi-Cal $143 - $217 80%
Hp Mcal Pro Fee $157 88%
Healthnet Mcal $171 - $310 95%
Hp Of San Joaquin Mcal $171 - $271 95%
Cca Health Plan Mcr Adv- All Plans $231 129%
Aetna $291 - $2,400 162%
Bright Health - All Plans $463 258%
Medcore(Omni Ipa) Op Only- All Plans $1,058 - $2,537 590%
Three Rivers Provider Network- All Plans $3,663 - $8,782 2044%

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