CMS Price Transparency Data

CT scan, head (with contrast)

Facility: Garden Grove Hospital & Medical Center

Billing Code: 70460 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70460
  • Insurance Median: $224
  • Cash Discount Price: $224
  • vs. Medicare Baseline: 1.25x Medicare
The contracted insurance negotiated median rate for a CT scan, head (with contrast) at Garden Grove Hospital & Medical Center is $224. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $224. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 1.25x the Medicare baseline. Located in 12601 Garden Grove Blvd, Garden Grove, CA.
Cash / Self-Pay
$224

Average discount available for prompt cash payment at this facility.

Insurance Median
$224

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: $224 (125%)
Insurance Median: $224 (125%)
Cash: $224 (125% of Medicare)
Ins. Median: $224 (125% 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.

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
Caloptima $137 76%
Molina $137 - $224 76%
Traditional Medi-Cal $137 76%
Health Net Of Ca $147 - $328 82%
Blue Shield Of Ca $224 125%
Central Health Plan $224 125%
Innovative Mgmt Svcs $224 125%
Medcare Partners Health Plan $224 125%
Medicare (plans) $224 125%
Patient Choice Health Plan $224 125%
Renal Payer Solutions $224 125%
Tricare $224 125%
Verda Healthplan $224 125%
Brand New Day $227 - $337 127%
Imperial Health Plan Of Ca $238 133%
Aetna $287 160%
Workers Compensation $296 165%
Employer Direct Healthcare $314 175%
Naphcare $348 194%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 12601 Garden Grove Blvd, Garden Grove, CA 92843
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals