CMS Price Transparency Data

CT scan, head (with contrast)

Facility: Adventist Health Tehachapi Valley

Billing Code: 70460 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70460
Insurance Median: $397
Cash Discount Price: $287
vs. Medicare Baseline: 2.22x Medicare

The contracted insurance negotiated median rate for a CT scan, head (with contrast) at Adventist Health Tehachapi Valley is $397. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $287. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 2.22x the Medicare baseline. Located in 1100 Magellan, Tehachapi, CA.

Cash / Self-Pay

$287

Average discount available for prompt cash payment at this facility.

Insurance Median

$397

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: $287 (160%)

Insurance Median: $397 (222%)

Cash: $287 (160% of Medicare)

Ins. Median: $397 (222% 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 222% of the Medicare baseline (a markup of 122%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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 - $3,415	17%
Healthnet Mcare	$53 - $831	30%
Tricare	$53 - $831	30%
UnitedHealthcare	$53 - $2,142	30%
Universal Ipa Mcr Adv Op/Profee Only-All Other Pla	$53 - $831	30%
Ah Employee Health Plan - All Plans	$58 - $2,318	32%
Network Providers- All Plans	$58 - $1,064	32%
Oscar Health Plan- All Plans	$61 - $287	34%
Aetna	$63 - $1,029	35%
Coventry- All Plans	$64 - $3,936	36%
Healthnet- All Other Plans	$77 - $3,367	43%
Western Grwrs/Pinnacle - All Plans	$79 - $1,837	44%
Centivo - All Plans	$80 - $1,869	45%
Blue Shield Epn- All Other Plans	$97 - $1,850	54%
Blue Shield Non-Epn	$103 - $2,186	57%
Medi-Cal	$143 - $217	80%
Universal Ipa Mcal Op/Profee Only	$143 - $217	80%
Medicare (plans)	$202 - $831	113%
Kaiser Medi-Cal Ip/Op Only	$217	121%
Bc Mcal	$223	124%
Healthnet Medi-Cal	$266	148%
Khs-Kern Hlth Systm Mcal	$280	156%
Kaiser Ip/Op Only- All Other Plans	$347 - $1,429	194%
Klhp-Kern Legacy Epo -All Other Plans	$532 - $2,186	297%
Blue Cross Blue Shield	$552 - $1,420	308%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $287.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 70460.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Adventist Health Tehachapi Valley is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 70460.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.