CMS Price Transparency Data

CT scan, head (with contrast)

Facility: Adventist Health Lodi Memorial

Billing Code: 70460 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$199

about 1.1× the $179 Medicare rate · typically $158–$393

modeled estimate · not a bill or quote

What this hospital charges insurers

$157

Below the fair price — a good deal

about $42 under the fair price · 0.9× Medicare

Medicare pays $179 Fair price $199 This hospital $157 Cash price $285 Hospital's list price $4,070

How we calculate the fair BaseRate →

How this hospital compares to other CA hospitals

Highest price of the 9 CA hospitals we have prices for — worth calling around.

Cheapest $54 Priciest $157

Black dot = this hospital, among the 9 CA hospitals with a price for this procedure. Full list below.

A fair price for a CT scan, head (with contrast) is about $199 (about 1.1× the $179 Medicare rate). Adventist Health Lodi Memorial charges insurers about $157, or about $285 in cash — below the fair price — a good deal. Located in Lodi, CA.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

6 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana✓ Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company	Price range	vs. Medicare
UnitedHealthcaremajor	$53 - $4,051	30%
Blue Cross Blue Shieldmajor	$53 - $3,279	30%
Aetnamajor	$291 - $2,400	162%
Cignamajor	$30 - $8,782	17%
Humanamajor	$53 - $231	30%
Kaiser Permanentemajor	$71 - $4,001	40%
Bright Health	$463	258%
Health Net	$53 - $4,792	30%
+ 13 smaller / regional plans	$53 - $8,782

Government programs also on file: Medicaid, Military & VA.

Excludes 5 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 285), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 70460.

Insurance Before you use insurance

Call your insurance company to confirm Adventist Health Lodi Memorial is in-network.
Ask your insurer whether prior approval is required for CPT code 70460.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Adventist Health Lodi Memorial

Compare: CT scan, head (with contrast) at other CA hospitals

Insurance negotiated median for the same procedure, sorted lowest first.