CMS Price Transparency Data

CT scan, sinuses

Facility: Adventist Health Tehachapi Valley

Billing Code: 70486 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70486
Insurance Median: $255
Cash Discount Price: $162
vs. Medicare Baseline: 2.39x Medicare

The contracted insurance negotiated median rate for a CT scan, sinuses at Adventist Health Tehachapi Valley is $255. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $162. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 2.39x the Medicare baseline. Located in 1100 Magellan, Tehachapi, CA.

Cash / Self-Pay

$162

Average discount available for prompt cash payment at this facility.

Insurance Median

$255

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: $162 (152%)

Insurance Median: $255 (239%)

Cash: $162 (152% of Medicare)

Ins. Median: $255 (239% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 239% of the Medicare baseline (a markup of 139%). 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	$22 - $2,588	21%
Healthnet Mcare	$41 - $630	38%
Tricare	$41 - $630	38%
UnitedHealthcare	$41 - $1,624	38%
Universal Ipa Mcr Adv Op/Profee Only-All Other Pla	$41 - $630	38%
Network Providers- All Plans	$44 - $806	41%
Ah Employee Health Plan - All Plans	$45 - $1,756	42%
Oscar Health Plan- All Plans	$47 - $171	44%
Coventry- All Plans	$49 - $2,983	46%
Healthnet- All Other Plans	$59 - $2,552	55%
Centivo - All Plans	$61 - $1,417	57%
Western Grwrs/Pinnacle - All Plans	$61 - $1,392	57%
Aetna	$64 - $992	60%
Blue Shield Epn- All Other Plans	$73 - $1,402	68%
Blue Shield Non-Epn	$77 - $1,657	72%
Medicare (plans)	$114 - $630	107%
Medi-Cal	$123 - $209	115%
Universal Ipa Mcal Op/Profee Only	$123 - $209	115%
Kaiser Ip/Op Only- All Other Plans	$196 - $1,083	184%
Kaiser Medi-Cal Ip/Op Only	$209	196%
Bc Mcal	$215	201%
Healthnet Medi-Cal	$256	240%
Khs-Kern Hlth Systm Mcal	$269	252%
Klhp-Kern Legacy Epo -All Other Plans	$300 - $1,657	281%
Blue Cross Blue Shield	$312 - $1,420	292%

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 $162.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 70486.

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 70486.
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.