CMS Price Transparency Data

CT scan, head (no contrast)

Facility: Valley Children's Hospital

Billing Code: 70450 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70450
  • Insurance Median: $1,705
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 15.96x Medicare
The contracted insurance negotiated median rate for a CT scan, head (no contrast) at Valley Children's Hospital is $1,705. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 15.96x the Medicare baseline. Located in 9300 Valley Childrens Place, Madera, CA.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$1,705

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%)
Insurance Median: $1,705 (1596%)
Ins. Median: $1,705 (1596% 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 1596% of the Medicare baseline (a markup of 1496%). 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.

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Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Allcare Ipa $282 264%
Kaiser $285 - $2,111 267%
UnitedHealthcare $331 - $844 310%
Dignity Ipa_Formerly Img $395 370%
La Salle Ipa $395 370%
Sante Ipa $395 370%
Central Valley Medical Providers Ipa $424 - $1,624 397%
Sequoia Health Ipa $424 397%
Univseral Healthcare Ipa $424 397%
United Physicians Network Ipa $438 410%
Community Care Ipa $446 418%
Adventist $498 466%
Blue Cross Blue Shield $511 - $2,360 478%
Cencal Health $558 522%
Kern Family Health Care $564 528%
Central California Alliance For Health $574 537%
Health Net $1,143 - $2,127 1070%
Dignity Health Central Coast $1,609 1506%
Community Health $1,786 1672%
Stanislaus Partners In Health $1,786 1672%
Physicians Choice Medical Group $1,819 1703%
Health Plan Of San Joaquin $1,949 1825%
Fowler Packing $2,014 1886%
Dignity (Formerly Managed Care Systems) $2,046 1916%
Kern Legacy $2,111 1976%
Blue Shield $2,169 - $2,464 2031%
Aetna $2,176 2037%
First Health Formerly Coventry $2,404 2251%
Bakersfield Family Medical Group $2,436 2281%
Network By Design $2,517 2357%
Community Care Health Plan $2,597 2431%
Health Smart $2,598 2432%
Key Medical Ipa $2,598 2432%
Sutter Health $2,761 2585%
Multiplan $3,107 2909%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 9300 Valley Childrens Place, Madera, CA 93636
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Childrens