CMS Price Transparency Data

CT scan, head (no contrast)

Facility: Adventist Health Vallejo

Billing Code: 70450 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70450
Insurance Median: $3,139
Cash Discount Price: $1,020
vs. Medicare Baseline: 29.39x Medicare

The contracted insurance negotiated median rate for a CT scan, head (no contrast) at Adventist Health Vallejo is $3,139. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,020. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 29.39x the Medicare baseline. Located in 525 Oregon St, Vallejo, CA.

Cash / Self-Pay

$1,020

Average discount available for prompt cash payment at this facility.

Insurance Median

$3,139

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: $1,020 (955%)

Insurance Median: $3,139 (2939%)

Cash: $1,020 (955% of Medicare)

Ins. Median: $3,139 (2939% 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 2939% of the Medicare baseline (a markup of 2839%). 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 - $5,634	21%
Blue Shield Mcr Adv	$40 - $106	37%
Medicare (plans)	$40 - $106	37%
Napa County Mcal Child	$40 - $106	37%
Tricare	$40 - $106	37%
Ah Employee Health Plan-All Plans	$44 - $191	41%
Interplan-All Plans	$47 - $4,578	44%
Kaiser-All Plans	$47 - $5,916	44%
Blue Shield Non-Epn-All Other Plans	$51 - $3,268	48%
UnitedHealthcare	$53 - $4,490	50%
Aetna	$57 - $1,016	53%
Western Growers-All Plans	$59 - $3,733	55%
Phcs-All Plans	$96 - $3,874	90%
Medi-Cal	$101 - $166	95%
Va Mcr-All Other Plans	$106	99%
Health Management Network-All Plans	$149 - $5,987	140%
Three Rivers-All Plans	$158 - $6,339	148%
Va Medi-Cal	$166	155%
Blue Cross Blue Shield	$803 - $963	752%
Healthnet-All Plans	$1,060	992%
Blue Shield Behav Hlth	$1,854 - $3,169	1736%
Blue Shield Epn	$1,941 - $3,317	1817%
Choicecare-All Plans	$2,885 - $4,930	2701%
Beech Street-All Plans	$3,091 - $5,282	2894%
Galaxy Network-All Plans	$3,709 - $6,339	3473%

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 $1,020.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 70450.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Adventist Health Vallejo is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 70450.
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.