CMS Price Transparency Data
CT scan, sinuses
Facility: Monterey Park Hospital
Billing Code: 70486 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 70486
- Insurance Median: $200
- Cash Discount Price: $4,023
- vs. Medicare Baseline: 1.87x Medicare
The contracted insurance negotiated median rate for a CT scan, sinuses at Monterey Park Hospital is $200. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $4,023. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.87x the Medicare baseline. Located in 900 S Atlantic Blvd, Monterey Park, CA.
Cash / Self-Pay
$4,023
Average discount available for prompt cash payment at this facility.
Insurance Median
$200
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: $4,023 (3767%)
Insurance Median: $200 (187%)
Cash: $4,023 (3767% of Medicare)
Ins. Median: $200 (187% 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.
Out-of-Pocket Cost Estimator
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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 |
|---|---|---|
| Blue Cross Blue Shield | $39 - $2,012 | 37% |
| Veterans Administration | $94 | 88% |
| La Care Health Plan | $101 - $675 | 95% |
| Bella Vista Medical Group | $108 - $1,207 | 101% |
| Senior Citizens Choice | $119 | 111% |
| Accountable Ipa | $123 | 115% |
| Alta Med Health Services Corp | $123 - $1,006 | 115% |
| Altamed Health Network | $123 - $132 | 115% |
| Altamed Health Services | $123 | 115% |
| Applecare Medical Group | $123 - $325 | 115% |
| Assess Ipa | $123 | 115% |
| Beverly Hospital | $123 - $148 | 115% |
| Brand New Day | $123 - $168 | 115% |
| Care 1St Mcl/Gar Cap | $123 | 115% |
| Community Health Plan | $123 | 115% |
| Family Health Alliance Medical Group | $123 | 115% |
| Health Net Medi Cal | $123 | 115% |
| Healthnet Inc | $123 | 115% |
| Healthy Way La | $123 | 115% |
| La Care | $123 - $134 | 115% |
| Medical Managed Care Program | $123 | 115% |
| Molina Healthcare | $123 | 115% |
| Other Non-Contracted Medi-Cal | $123 | 115% |
| Preferred Ipa | $123 - $168 | 115% |
| Preferred Ipa Of California | $123 | 115% |
| Alignment Health Plan | $130 | 122% |
| Aetna | $132 - $2,640 | 124% |
| Aids Health Foundation | $132 - $299 | 124% |
| Apa/Aco Inc | $132 | 124% |
| Avanti | $132 - $299 | 124% |
| Blue Shield Of California | $132 - $2,012 | 124% |
| Cms | $132 | 124% |
| Easy Choice Health Plan | $132 | 124% |
| First Health Senior | $132 | 124% |
| Foundation Health Plan | $132 | 124% |
| Health Net | $132 - $2,300 | 124% |
| Health Net Inc | $132 - $2,848 | 124% |
| Humana | $132 | 124% |
| Medicare (plans) | $132 - $139 | 124% |
| Scan Health Plan | $132 | 124% |
| Secure Horizons | $132 | 124% |
| Ucla/Impact Cancer | $132 | 124% |
| UnitedHealthcare | $132 - $2,816 | 124% |
| Cv-19 Hrsa Uninsured Testing And Tx I/P And O/P | $134 | 125% |
| Emanate Health | $134 - $299 | 125% |
| La Care Covered Direct | $134 | 125% |
| Maxi Med Inc/Ipa | $134 - $299 | 125% |
| Self-Pay | $134 | 125% |
| Molina Healthcare Medi-Connect | $139 | 130% |
| San Miguel Health Plan | $148 | 139% |
| Ahmc Health Epo | $168 | 157% |
| Knox-Keene Act | $168 | 157% |
| Molina Healthcare Of California | $168 | 157% |
| Preferred Health Network | $169 - $3,218 | 158% |
| Interplan | $173 - $3,017 | 162% |
| Asi Flex Ppo W/C | $178 | 167% |
| Athens Administrators | $178 | 167% |
| Indemnity W Comp Fee Schedule | $178 | 167% |
| Multiplan | $178 - $3,420 | 167% |
| Pacificare | $178 - $1,578 | 167% |
| Access Ipa Ancillary | $200 | 187% |
| Associated Hispanic Physicians Ancillary | $200 | 187% |
| Esperanza Medical Group Ipa | $200 | 187% |
| Alhambra Community Dialysis Unit Inc | $269 - $2,414 | 252% |
| Bella Vista Medical Group Ancillary | $299 | 280% |
| Central Health Plan | $299 | 280% |
| Hollywood Presbyterian Adv Med Mcal | $299 | 280% |
| Hollywood Presbyterian Medpoint Mcal | $299 | 280% |
| Medi Cal | $299 | 280% |
| Mri/Ct Greater El Monte Hospital | $300 | 281% |
| Ahmc Healthcare Inc | $345 | 323% |
| Mri/Mra/Eladh | $375 | 351% |
| Physician Healthways | $375 - $402 | 351% |
| Health Net Of California | $400 - $2,406 | 374% |
| Altamed Health Services Corporation | $402 | 376% |
| Crown City Medical Group Inc | $402 | 376% |
| Universal Care M Cal/Advantage Health Network | $402 | 376% |
| Caloptima Direct | $440 | 412% |
| Employee Health Systems Medical Group | $450 | 421% |
| Molina Medical Centers | $450 | 421% |
| One Health Plan | $775 - $2,414 | 726% |
| Global Care Medical Group Ipa | $805 - $1,810 | 754% |
| Healthnet/Ehs Capitation | $805 | 754% |
| Tenet Reciprocity | $1,000 | 936% |
| Universal Care | $1,000 - $1,250 | 936% |
| Central Health Plan Of California | $1,200 | 1123% |
| Ahmc Reciprocity Agreement Senior/Commercial | $1,207 | 1130% |
| Community Health Plan M Cal Joy Ipa | $1,207 | 1130% |
| Healthcare Partners Affiliates Medical Group | $1,436 | 1344% |
| Cigna | $1,508 | 1412% |
| Pacific Independent Physician Association | $1,609 | 1506% |
| Healthnet | $2,365 | 2214% |
| Greater Los Angeles Dialysis Inc | $2,414 | 2260% |
| Choice Care Network | $2,615 | 2448% |
| Corvel Corporation | $2,816 | 2636% |
| Bce Emergis Corp | $3,420 | 3202% |
| Commercial Non Contract | $4,023 | 3767% |
| Mri/Mra/Alhambra Hospital | $4,023 | 3767% |
| One Legacy | $4,023 | 3767% |