CMS Price Transparency Data

CT scan, head (with and without contrast)

Facility: Adventist Health Vallejo

Billing Code: 70470 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70470
Insurance Median: $3,566
Cash Discount Price: $1,058
vs. Medicare Baseline: 19.90x Medicare

The contracted insurance negotiated median rate for a CT scan, head (with and without contrast) at Adventist Health Vallejo is $3,566. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,058. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 19.90x the Medicare baseline. Located in 525 Oregon St, Vallejo, CA.

Cash / Self-Pay

$1,058

Average discount available for prompt cash payment at this facility.

Insurance Median

$3,566

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%)

Cash / Self-Pay: $1,058 (590%)

Insurance Median: $3,566 (1990%)

Cash: $1,058 (590% of Medicare)

Ins. Median: $3,566 (1990% 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 1990% of the Medicare baseline (a markup of 1890%). 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	$33 - $6,786	18%
Blue Shield Mcr Adv	$59 - $178	33%
Medicare (plans)	$59 - $178	33%
Napa County Mcal Child	$59 - $178	33%
Tricare	$59 - $178	33%
Ah Employee Health Plan-All Plans	$65 - $320	36%
Interplan-All Plans	$71 - $5,450	40%
Kaiser-All Plans	$71 - $7,125	40%
Blue Shield Epn	$77 - $3,995	43%
Blue Shield Non-Epn-All Other Plans	$77 - $3,936	43%
UnitedHealthcare	$79 - $5,407	44%
Aetna	$85 - $1,621	47%
Western Growers-All Plans	$87 - $4,495	49%
Phcs-All Plans	$144 - $4,665	80%
Medi-Cal	$168 - $248	94%
Va Mcr-All Other Plans	$178	99%
Health Management Network-All Plans	$223 - $7,210	124%
Three Rivers-All Plans	$236 - $7,634	132%
Va Medi-Cal	$248	138%
Healthnet-All Plans	$1,060	592%
Blue Cross Blue Shield	$1,201 - $1,442	670%
Blue Shield Behav Hlth	$2,727 - $3,817	1522%
Choicecare-All Plans	$4,241 - $5,937	2367%
Beech Street-All Plans	$4,544 - $6,362	2536%
Galaxy Network-All Plans	$5,453 - $7,634	3043%

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 $1,058.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 70470.

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 70470.
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.