CMS Price Transparency Data

CT scan, head (with contrast)

Facility: Adventist Health Tulare

Billing Code: 70460 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70460
  • Insurance Median: $226
  • Cash Discount Price: $437
  • vs. Medicare Baseline: 1.26x Medicare
The contracted insurance negotiated median rate for a CT scan, head (with contrast) at Adventist Health Tulare is $226. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $437. 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
$437

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: $437 (244%)
Insurance Median: $226 (126%)
Cash: $437 (244% 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 $30 - $2,034 17%
Blue Shield Mcare $53 - $226 30%
Fhcn Pace Mcr Adv - All Plans $53 - $226 30%
Medicare (plans) $53 - $226 30%
Tricare $53 - $226 30%
UnitedHealthcare $53 - $3,182 30%
Upn-United Physcn Ntwrk Mcr Adv Profee Only-All Ot $53 30%
Ah Employee Health Plan - All Plans $58 - $406 32%
Incentive Hlth - All Plans $58 - $406 32%
Hs Interplan-All Plans $66 - $2,943 37%
Cal Forensic Med Grp - All Plans $69 - $293 39%
Healthnet Hmo/Ppo - All Other Plans $77 - $601 43%
Blue Cross Blue Shield $86 - $1,176 48%
Blue Shield Epn $97 - $1,388 54%
Blue Shield-All Other Plans $103 - $1,920 57%
Ccipa Medi-Cal - All Plans $143 - $282 80%
Healthnet Medi-Cal $143 - $284 80%
Medi-Cal $143 - $217 80%
Upn-United Physcn Ntwrk Mcal Profee Only $143 80%
Aetna $184 - $1,145 103%
Dignity Mcr Op Only - All Other Plans $226 126%
Prime Health - All Plans $226 126%
Dignity Mcal Op Only $238 133%
Independence Op Only - All Plans $238 133%
Prison Hlthcre - All Plans $289 161%
Bright Health - All Plans $327 182%
Western Growers - All Plans $2,021 1128%
Network By Design-All Plans $3,000 1674%
Multiplan - All Plans $3,734 2084%

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