CMS Price Transparency Data
CT scan, abdomen and pelvis (no contrast)
Facility: Garfield Medical Center
Billing Code: 74176 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 74176
- Insurance Median: $384
- Cash Discount Price: $6,467
- vs. Medicare Baseline: 1.58x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (no contrast) at Garfield Medical Center is $384. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $6,467. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.58x the Medicare baseline. Located in 525 N Garfield Ave, Monterey Park, CA.
Cash / Self-Pay
$6,467
Average discount available for prompt cash payment at this facility.
Insurance Median
$384
Median negotiated contract rate across all mapped commercial carriers.
Medicare Reference Rate
$243.77
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. Medicare
Medicare Reference Baseline: $243.77 (100%)
Cash / Self-Pay: $6,467 (2653%)
Insurance Median: $384 (158%)
Cash: $6,467 (2653% of Medicare)
Ins. Median: $384 (158% of Medicare)
Understanding this gauge: We use the federal Medicare rate of $243.77 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 | $55 - $3,234 | 23% |
| Advantage Care Ipa | $105 - $6,467 | 43% |
| Physicians Healthways Medical Corporation | $105 - $6,467 | 43% |
| Aids Health Foundation | $174 - $302 | 71% |
| Avanti | $174 - $368 | 71% |
| Beverly Hospital | $174 - $338 | 71% |
| Brand New Day | $174 - $384 | 71% |
| Care 1St Mcl/Gar Cap Reciprocity | $174 | 71% |
| Community Health Plan | $174 | 71% |
| Emanate Health | $174 - $384 | 71% |
| Health Net | $174 - $5,432 | 71% |
| Healthy Way La | $174 | 71% |
| Hollywood Presbyterian Advanced Med Mgmt Mcal | $174 | 71% |
| Hollywood Presbyterian Medpoint Mcal | $174 | 71% |
| La Care Health Plan | $174 - $3,557 | 71% |
| Other Non-Contracting Medi-Cal | $174 | 71% |
| Physicians Healthways Medi-Cal | $174 - $6,467 | 71% |
| State Of California Medi-Cal | $174 | 71% |
| Aetna | $199 - $2,640 | 82% |
| Veterans Administration | $215 | 88% |
| Caloptima Direct | $256 | 105% |
| Apa Aco Inc | $302 | 124% |
| Blue Shield | $302 - $1,584 | 124% |
| Central Health Plan | $302 - $1,200 | 124% |
| Cms | $302 | 124% |
| Easy Choice Health Plan | $302 | 124% |
| Humana | $302 | 124% |
| Non-Contract Medi-Care | $302 | 124% |
| Pacific Alliance Medical Center Comm/Sr | $302 | 124% |
| UnitedHealthcare | $302 - $2,900 | 124% |
| Blue Shield Of California | $307 - $3,234 | 126% |
| Cv-19 Hrsa Uninsured Testing And Tx | $307 | 126% |
| First Health Network | $307 - $3,300 | 126% |
| La Care Covered Direct | $307 | 126% |
| Scan Health Plan Sr Hmo | $307 | 126% |
| Self-Pay | $307 | 126% |
| Ucla Impact Dept Of Uncology | $307 | 126% |
| Alignment Health Plan | $317 | 130% |
| Molina Healthcare | $317 | 130% |
| Molina Healthcare Of California | $317 - $384 | 130% |
| Inter Valley Health Plan | $322 | 132% |
| National Disaster Medical System | $338 | 139% |
| San Miguel Health Plan | $338 | 139% |
| Ahmc Healthcare Inc | $345 - $1,500 | 142% |
| Chinatown Service Center Pace | $368 | 151% |
| Pacificare Of California Inc | $376 | 154% |
| Pacificare Ppo | $376 | 154% |
| Ahmc Health Epo | $384 | 158% |
| Knox-Keene Act | $384 | 158% |
| Preferred Health Network | $388 | 159% |
| Interplan | $396 - $4,850 | 162% |
| Athens Administrators | $408 | 167% |
| Multiplan | $408 - $5,497 | 167% |
| Other Non-Contracted Workers Compensation | $408 | 167% |
| Molina Medical Group | $478 | 196% |
| Health Net Comm/Hmo | $488 - $3,557 | 200% |
| Health Net Inc | $498 | 204% |
| Associated Hispanic Phys Of So Cal | $647 - $1,293 | 265% |
| Cigna | $1,301 | 534% |
| Access Ipa Ancillary | $2,587 | 1061% |
| Health Net Foundation Comm/Sr (Family Health Alliance) | $2,587 | 1061% |
| Health Net Foundation M Cal (Family Health Alliance) | $2,587 | 1061% |
| One Health Plan | $2,587 | 1061% |
| Pacific Independent Physician Association | $2,587 | 1061% |
| Phys Assoc Of San Gab Valley | $2,587 | 1061% |
| Alhambra Hospital | $3,880 | 1592% |
| Corvel Corporation | $4,527 | 1857% |
| Fmc Los Angeles Co Epo | $4,850 | 1990% |
| Americas Health Plan | $5,497 | 2255% |
| Health Payors Organization | $5,820 | 2387% |
| East La Reg Ctr | $6,467 | 2653% |
| Non Contract Commercial | $6,467 | 2653% |
| One Legacy | $6,467 | 2653% |
| Private Pay | $6,467 | 2653% |