CMS Price Transparency Data
CT scan, abdomen and pelvis (with contrast)
Facility: Garfield Medical Center
Billing Code: 74177 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 74177
- Insurance Median: $904
- Cash Discount Price: $5,947
- vs. Medicare Baseline: 2.54x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Garfield Medical Center is $904. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $5,947. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 2.54x the Medicare baseline. Located in 525 N Garfield Ave, Monterey Park, CA.
Cash / Self-Pay
$5,947
Average discount available for prompt cash payment at this facility.
Insurance Median
$904
Median negotiated contract rate across all mapped commercial carriers.
Medicare Reference Rate
$356.43
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. Medicare
Medicare Reference Baseline: $356.43 (100%)
Cash / Self-Pay: $5,947 (1668%)
Insurance Median: $904 (254%)
Cash: $5,947 (1668% of Medicare)
Ins. Median: $904 (254% of Medicare)
Understanding this gauge: We use the federal Medicare rate of $356.43 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 254% of the Medicare baseline (a markup of 154%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.
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 | $89 - $3,314 | 25% |
| Advantage Care Ipa | $190 - $6,628 | 53% |
| Physicians Healthways Medical Corporation | $190 - $6,628 | 53% |
| Aids Health Foundation | $282 - $442 | 79% |
| Avanti | $282 - $538 | 79% |
| Beverly Hospital | $282 - $494 | 79% |
| Brand New Day | $282 - $561 | 79% |
| Care 1St Mcl/Gar Cap Reciprocity | $282 | 79% |
| Community Health Plan | $282 | 79% |
| Emanate Health | $282 - $561 | 79% |
| Health Net | $282 - $5,568 | 79% |
| Healthy Way La | $282 | 79% |
| Hollywood Presbyterian Advanced Med Mgmt Mcal | $282 | 79% |
| Hollywood Presbyterian Medpoint Mcal | $282 | 79% |
| La Care Health Plan | $282 - $3,645 | 79% |
| Other Non-Contracting Medi-Cal | $282 | 79% |
| Physicians Healthways Medi-Cal | $282 - $6,628 | 79% |
| State Of California Medi-Cal | $282 | 79% |
| Veterans Administration | $314 | 88% |
| Ahmc Healthcare Inc | $345 - $1,500 | 97% |
| Aetna | $380 - $2,640 | 107% |
| Interplan | $400 - $4,971 | 112% |
| Caloptima Direct | $414 | 116% |
| Apa Aco Inc | $442 | 124% |
| Blue Shield | $442 - $3,021 | 124% |
| Central Health Plan | $442 - $1,200 | 124% |
| Cms | $442 | 124% |
| Easy Choice Health Plan | $442 | 124% |
| Humana | $442 | 124% |
| Non-Contract Medi-Care | $442 | 124% |
| Pacific Alliance Medical Center Comm/Sr | $442 | 124% |
| UnitedHealthcare | $442 - $2,900 | 124% |
| Blue Shield Of California | $449 - $3,314 | 126% |
| Cv-19 Hrsa Uninsured Testing And Tx | $449 | 126% |
| First Health Network | $449 - $3,300 | 126% |
| La Care Covered Direct | $449 | 126% |
| Scan Health Plan Sr Hmo | $449 | 126% |
| Self-Pay | $449 | 126% |
| Ucla Impact Dept Of Uncology | $449 | 126% |
| Alignment Health Plan | $464 | 130% |
| Molina Healthcare | $464 | 130% |
| Molina Healthcare Of California | $464 - $561 | 130% |
| Inter Valley Health Plan | $471 | 132% |
| Molina Medical Group | $478 | 134% |
| National Disaster Medical System | $494 | 139% |
| San Miguel Health Plan | $494 | 139% |
| Associated Hispanic Phys Of So Cal | $526 - $1,326 | 148% |
| Chinatown Service Center Pace | $538 | 151% |
| Ahmc Health Epo | $561 | 157% |
| Knox-Keene Act | $561 | 157% |
| Preferred Health Network | $567 | 159% |
| Athens Administrators | $597 | 167% |
| Multiplan | $597 - $5,634 | 167% |
| Other Non-Contracted Workers Compensation | $597 | 167% |
| Pacificare Of California Inc | $602 | 169% |
| Pacificare Ppo | $602 | 169% |
| Health Net Comm/Hmo | $713 - $3,645 | 200% |
| Health Net Inc | $728 | 204% |
| Cigna | $1,301 | 365% |
| Access Ipa Ancillary | $2,106 - $2,651 | 591% |
| Health Net Foundation Comm/Sr (Family Health Alliance) | $2,106 - $2,651 | 591% |
| Health Net Foundation M Cal (Family Health Alliance) | $2,106 - $2,651 | 591% |
| One Health Plan | $2,106 - $2,651 | 591% |
| Pacific Independent Physician Association | $2,106 - $2,651 | 591% |
| Phys Assoc Of San Gab Valley | $2,106 - $2,651 | 591% |
| Alhambra Hospital | $3,159 - $3,977 | 886% |
| Corvel Corporation | $3,686 - $4,640 | 1034% |
| Fmc Los Angeles Co Epo | $3,949 - $4,971 | 1108% |
| Americas Health Plan | $4,475 - $5,634 | 1256% |
| Health Payors Organization | $4,738 - $5,965 | 1329% |
| East La Reg Ctr | $5,265 - $6,628 | 1477% |
| Non Contract Commercial | $5,265 - $6,628 | 1477% |
| One Legacy | $5,265 - $6,628 | 1477% |
| Private Pay | $5,265 - $6,628 | 1477% |