CMS Price Transparency Data

CT scan, head (with contrast)

Facility: Adventist Health Delano

Billing Code: 70460 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70460
  • Insurance Median: $1,027
  • Cash Discount Price: $399
  • vs. Medicare Baseline: 5.73x Medicare
The contracted insurance negotiated median rate for a CT scan, head (with contrast) at Adventist Health Delano is $1,027. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $399. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 5.73x the Medicare baseline. Located in 1401 Garces Highway, Delano, CA.
Cash / Self-Pay
$399

Average discount available for prompt cash payment at this facility.

Insurance Median
$1,027

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: $399 (223%)
Insurance Median: $1,027 (573%)
Cash: $399 (223% of Medicare)
Ins. Median: $1,027 (573% 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 573% of the Medicare baseline (a markup of 473%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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
Blue Cross Blue Shield $116 - $1,898 65%
Kaiser Medi-Cal Ip/Op Only $217 121%
Medi-Cal $217 121%
Universal Care Mcal $217 121%
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 - $1,641 126%
Universal Care Mcr- All Other Plans $226 126%
Healthnet Medi-Cal $258 144%
Kern Health System Mcal $280 156%
Dignty Hlth Com/Mcr Op Only - All Other Plans $295 165%
Dignty Hlth Mcal Op Only $295 165%
Blue Shield Epn - All Other Plans $375 - $500 209%
Kaiser Comm Ip/Op Only- All Other Plans $388 217%
Ah Employee Health Plan - All Plans $406 227%
Centivo - All Plans $508 283%
Healthnet- All Other Plans $941 - $1,191 525%
Coventry- All Plans $1,027 - $1,369 573%
Aetna $1,099 613%
Blue Shield Non-Epn $1,122 626%
County Of Kern Network - All Plans $1,198 - $1,597 669%
Gem Care- All Plans $1,198 - $1,597 669%
Foundation For Medical Care Of Kern County - All P $1,283 - $1,711 716%
Cigna $1,369 - $1,825 764%
Western Growers - All Plans $1,386 - $1,848 773%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1401 Garces Highway, Delano, CA 93215
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals