CMS Price Transparency Data

CT scan, head (with and without contrast)

Facility: Adventist Health Delano

Billing Code: 70470 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70470
Insurance Median: $388
Cash Discount Price: $520
vs. Medicare Baseline: 2.17x Medicare

The contracted insurance negotiated median rate for a CT scan, head (with and without contrast) at Adventist Health Delano is $388. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $520. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 2.17x the Medicare baseline. Located in 1401 Garces Highway, Delano, CA.

Cash / Self-Pay

$520

Average discount available for prompt cash payment at this facility.

Insurance Median

$388

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: $520 (290%)

Insurance Median: $388 (217%)

Cash: $520 (290% of Medicare)

Ins. Median: $388 (217% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 217% of the Medicare baseline (a markup of 117%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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 Cross Blue Shield	$116 - $2,163	65%
Bakersfield Fam Med Grp-All Plans	$226	126%
Healthnet Mcr Adv	$226	126%
Kern Mcr Adv Dual Dnsp-All Other Plans	$226	126%
Medicare (plans)	$226 - $361	126%
Tricare	$226	126%
UnitedHealthcare	$226 - $1,871	126%
Universal Care Mcr- All Other Plans	$226	126%
Kaiser Medi-Cal Ip/Op Only	$248	138%
Medi-Cal	$248	138%
Universal Care Mcal	$248	138%
Dignty Hlth Com/Mcr Op Only - All Other Plans	$295	165%
Dignty Hlth Mcal Op Only	$295	165%
Healthnet Medi-Cal	$295	165%
Kern Health System Mcal	$320	179%
Kaiser Comm Ip/Op Only- All Other Plans	$388	217%
Ah Employee Health Plan - All Plans	$406	227%
Centivo - All Plans	$508	283%
Blue Shield Epn - All Other Plans	$569	318%
Aetna	$1,099	613%
Healthnet- All Other Plans	$1,191	665%
Blue Shield Non-Epn	$1,404	783%
Coventry- All Plans	$1,560	871%
County Of Kern Network - All Plans	$1,820	1016%
Gem Care- All Plans	$1,820	1016%
Foundation For Medical Care Of Kern County - All P	$1,950	1088%
Cigna	$2,080	1161%
Western Growers - All Plans	$2,106	1175%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $520.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 70470.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Adventist Health Delano is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 70470.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.