CMS Price Transparency Data

CT scan, head (with and without contrast)

Facility: Adventist Health Tulare

Billing Code: 70470 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70470
  • Insurance Median: $226
  • Cash Discount Price: $517
  • vs. Medicare Baseline: 1.26x Medicare
The contracted insurance negotiated median rate for a CT scan, head (with and without contrast) at Adventist Health Tulare is $226. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $517. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 1.26x the Medicare baseline. Located in 869 North Cherry Street, Tulare, CA.
Cash / Self-Pay
$517

Average discount available for prompt cash payment at this facility.

Insurance Median
$226

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: $517 (289%)
Insurance Median: $226 (126%)
Cash: $517 (289% of Medicare)
Ins. Median: $226 (126% 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 $33 - $2,408 18%
Blue Shield Mcare $59 - $226 33%
Fhcn Pace Mcr Adv - All Plans $59 - $226 33%
Medicare (plans) $59 - $226 33%
Tricare $59 - $226 33%
UnitedHealthcare $59 - $3,767 33%
Upn-United Physcn Ntwrk Mcr Adv Profee Only-All Ot $59 33%
Ah Employee Health Plan - All Plans $65 - $406 36%
Incentive Hlth - All Plans $65 - $406 36%
Hs Interplan-All Plans $74 - $3,485 41%
Cal Forensic Med Grp - All Plans $77 - $293 43%
Healthnet Hmo/Ppo - All Other Plans $87 - $601 49%
Blue Cross Blue Shield $97 - $1,467 54%
Blue Shield Epn $110 - $1,644 61%
Blue Shield-All Other Plans $116 - $2,273 65%
Ccipa Medi-Cal - All Plans $168 - $322 94%
Healthnet Medi-Cal $168 - $325 94%
Medi-Cal $168 - $248 94%
Upn-United Physcn Ntwrk Mcal Profee Only $168 94%
Dignity Mcr Op Only - All Other Plans $226 126%
Prime Health - All Plans $226 126%
Aetna $227 - $1,411 127%
Dignity Mcal Op Only $272 152%
Independence Op Only - All Plans $272 152%
Prison Hlthcre - All Plans $289 161%
Bright Health - All Plans $327 182%
Western Growers - All Plans $2,392 1335%
Network By Design-All Plans $3,000 1674%
Multiplan - All Plans $4,421 2467%

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