CMS Price Transparency Data

CT scan, head (no contrast)

Facility: Adventist Health Tulare

Billing Code: 70450 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70450
  • Insurance Median: $134
  • Cash Discount Price: $314
  • vs. Medicare Baseline: 1.25x Medicare
The contracted insurance negotiated median rate for a CT scan, head (no contrast) at Adventist Health Tulare is $134. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $314. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.25x the Medicare baseline. Located in 869 North Cherry Street, Tulare, CA.
Cash / Self-Pay
$314

Average discount available for prompt cash payment at this facility.

Insurance Median
$134

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$106.81

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $106.81 (100%)
Cash / Self-Pay: $314 (294%)
Insurance Median: $134 (125%)
Cash: $314 (294% of Medicare)
Ins. Median: $134 (125% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $106.81 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 $22 - $1,455 21%
Blue Shield Mcare $40 - $134 37%
Fhcn Pace Mcr Adv - All Plans $40 - $134 37%
Medicare (plans) $40 - $134 37%
Tricare $40 - $134 37%
UnitedHealthcare $40 - $2,276 37%
Upn-United Physcn Ntwrk Mcr Adv Profee Only-All Ot $40 37%
Ah Employee Health Plan - All Plans $44 - $242 41%
Incentive Hlth - All Plans $44 - $242 41%
Hs Interplan-All Plans $50 - $2,106 47%
Cal Forensic Med Grp - All Plans $52 - $175 49%
Healthnet Hmo/Ppo - All Other Plans $58 - $358 54%
Blue Cross Blue Shield $65 - $980 61%
Blue Shield Epn $73 - $993 68%
Blue Shield-All Other Plans $77 - $1,373 72%
Ccipa Medi-Cal - All Plans $101 - $216 95%
Healthnet Medi-Cal $101 - $217 95%
Medi-Cal $101 - $166 95%
Upn-United Physcn Ntwrk Mcal Profee Only $101 95%
Dignity Mcr Op Only - All Other Plans $134 125%
Prime Health - All Plans $134 125%
Aetna $142 - $884 133%
Prison Hlthcre - All Plans $172 161%
Dignity Mcal Op Only $182 170%
Independence Op Only - All Plans $182 170%
Bright Health - All Plans $195 183%
Western Growers - All Plans $1,446 1354%
Network By Design-All Plans $2,200 2060%
Multiplan - All Plans $2,672 2502%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 869 North Cherry Street, Tulare, CA 93274
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals