CMS Price Transparency Data

CT scan, head (no contrast)

Facility: Adventist Health Clearlake

Billing Code: 70450 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70450
  • Insurance Median: $3,270
  • Cash Discount Price: $1,627
  • vs. Medicare Baseline: 30.62x Medicare
The contracted insurance negotiated median rate for a CT scan, head (no contrast) at Adventist Health Clearlake is $3,270. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,627. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 30.62x the Medicare baseline. Located in 15630 18Th Ave - Hwy 53, Clearlake, CA.
Cash / Self-Pay
$1,627

Average discount available for prompt cash payment at this facility.

Insurance Median
$3,270

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: $1,627 (1523%)
Insurance Median: $3,270 (3062%)
Cash: $1,627 (1523% of Medicare)
Ins. Median: $3,270 (3062% 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 3062% of the Medicare baseline (a markup of 2962%). 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
Bc Managed Mcal $166 155%
Medi-Cal $166 155%
Blue Cross Blue Shield $698 - $1,118 653%
Blue Shield Mcr Adv $823 - $1,075 771%
Kaiser Mcr Adv $823 - $1,075 771%
Tricare $823 - $1,075 771%
UnitedHealthcare $906 - $4,270 848%
Ah Employee Health Plan - All Plans $1,647 - $2,150 1542%
Blue Shield Epn - All Other Plans $1,747 1636%
Blue Shield Non-Epn $1,830 1713%
Aetna $2,930 - $3,826 2743%
Western Growers- All Plans $2,941 - $3,840 2753%
First Health- All Plans $3,137 - $4,096 2937%
Healthnet- All Plans $3,215 - $4,198 3010%
Foundation- All Plans $3,333 - $4,352 3120%
Health Mgmt Network- All Plans $3,333 - $4,352 3120%
Humana $3,333 - $4,352 3120%
Phcs- All Plans $3,333 - $4,352 3120%
Cigna $3,529 - $4,608 3304%
Interplan- All Plans $3,529 - $4,608 3304%
Kaiser- All Other Plans $3,529 - $4,608 3304%
Three Rivers Provider Network- All Plans $3,529 - $4,608 3304%
Partnership Mcal - All Plans $6,470 - $8,448 6057%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 15630 18Th Ave - Hwy 53, Clearlake, CA 95422
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals