CMS Price Transparency Data

CT scan, head (with and without contrast)

Facility: Adventist Health Tehachapi Valley

Billing Code: 70470 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70470
  • Insurance Median: $455
  • Cash Discount Price: $329
  • vs. Medicare Baseline: 2.54x Medicare
The contracted insurance negotiated median rate for a CT scan, head (with and without contrast) at Adventist Health Tehachapi Valley is $455. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $329. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 2.54x the Medicare baseline. Located in 1100 Magellan, Tehachapi, CA.
Cash / Self-Pay
$329

Average discount available for prompt cash payment at this facility.

Insurance Median
$455

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: $329 (184%)
Insurance Median: $455 (254%)
Cash: $329 (184% of Medicare)
Ins. Median: $455 (254% 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 254% of the Medicare baseline (a markup of 154%). 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
Cigna $33 - $4,188 18%
Healthnet Mcare $60 - $1,019 33%
Tricare $60 - $1,019 33%
UnitedHealthcare $60 - $2,627 33%
Universal Ipa Mcr Adv Op/Profee Only-All Other Pla $60 - $1,019 33%
Network Providers- All Plans $65 - $1,304 36%
Ah Employee Health Plan - All Plans $66 - $2,842 37%
Oscar Health Plan- All Plans $69 - $287 39%
Aetna $71 - $1,267 40%
Coventry- All Plans $72 - $4,827 40%
Healthnet- All Other Plans $87 - $4,130 49%
Western Grwrs/Pinnacle - All Plans $89 - $2,252 50%
Centivo - All Plans $90 - $2,293 50%
Blue Shield Epn- All Other Plans $110 - $2,269 61%
Blue Shield Non-Epn $116 - $2,682 65%
Medi-Cal $168 - $248 94%
Universal Ipa Mcal Op/Profee Only $168 - $248 94%
Medicare (plans) $232 - $1,019 129%
Kaiser Medi-Cal Ip/Op Only $248 138%
Bc Mcal $255 142%
Healthnet Medi-Cal $304 170%
Khs-Kern Hlth Systm Mcal $320 179%
Kaiser Ip/Op Only- All Other Plans $398 - $1,753 222%
Klhp-Kern Legacy Epo -All Other Plans $610 - $2,682 340%
Blue Cross Blue Shield $633 - $1,420 353%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1100 Magellan, Tehachapi, CA 93561
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals