CMS Price Transparency Data

CT scan, head (with and without contrast)

Facility: Valley Children's Hospital

Billing Code: 70470 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70470
  • Insurance Median: $2,345
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 13.09x Medicare
The contracted insurance negotiated median rate for a CT scan, head (with and without contrast) at Valley Children's Hospital is $2,345. 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 $179.2, this hospital’s rate is 13.09x 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
$2,345

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%)
Insurance Median: $2,345 (1309%)
Ins. Median: $2,345 (1309% 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 1309% of the Medicare baseline (a markup of 1209%). 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 $330 184%
UnitedHealthcare $331 - $844 185%
Kaiser $334 - $3,028 186%
Dignity Ipa_Formerly Img $462 258%
La Salle Ipa $462 258%
Sante Ipa $462 258%
Central Valley Medical Providers Ipa $495 - $2,330 276%
Sequoia Health Ipa $495 276%
Univseral Healthcare Ipa $495 276%
United Physicians Network Ipa $512 286%
Community Care Ipa $522 291%
Adventist $582 325%
Blue Cross Blue Shield $598 - $2,360 334%
Cencal Health $653 364%
Kern Family Health Care $660 368%
Central California Alliance For Health $672 375%
Health Net $1,640 - $3,051 915%
Dignity Health Central Coast $2,309 1289%
Community Health $2,562 1430%
Stanislaus Partners In Health $2,562 1430%
Physicians Choice Medical Group $2,609 1456%
Health Plan Of San Joaquin $2,795 1560%
Fowler Packing $2,889 1612%
Dignity (Formerly Managed Care Systems) $2,935 1638%
Kern Legacy $3,028 1690%
Blue Shield $3,112 - $3,535 1737%
Aetna $3,122 1742%
First Health Formerly Coventry $3,448 1924%
Bakersfield Family Medical Group $3,494 1950%
Network By Design $3,611 2015%
Community Care Health Plan $3,726 2079%
Health Smart $3,727 2080%
Key Medical Ipa $3,727 2080%
Sutter Health $3,960 2210%
Multiplan $4,457 2487%

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