CMS Price Transparency Data
CT scan, head (no contrast)
Facility: Garfield Medical Center
Billing Code: 70450 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 70450
- Insurance Median: $731
- Cash Discount Price: $4,776
- vs. Medicare Baseline: 6.84x Medicare
The contracted insurance negotiated median rate for a CT scan, head (no contrast) at Garfield Medical Center is $731. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $4,776. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 6.84x the Medicare baseline. Located in 525 N Garfield Ave, Monterey Park, CA.
Cash / Self-Pay
$4,776
Average discount available for prompt cash payment at this facility.
Insurance Median
$731
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: $4,776 (4471%)
Insurance Median: $731 (684%)
Cash: $4,776 (4471% of Medicare)
Ins. Median: $731 (684% 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.
Elevated Commercial Rate Alert (Value-Gap)
The negotiated rate at this facility is 684% of the Medicare baseline (a markup of 584%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.
Out-of-Pocket Cost Estimator
Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.
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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 | $32 - $3,615 | 30% |
| Advantage Care Ipa | $66 - $7,230 | 62% |
| Physicians Healthways Medical Corporation | $66 - $7,230 | 62% |
| Veterans Administration | $94 | 88% |
| Beverly Hospital | $101 - $148 | 95% |
| Brand New Day | $101 - $168 | 95% |
| Care 1St Mcl/Gar Cap Reciprocity | $101 | 95% |
| Community Health Plan | $101 | 95% |
| Emanate Health | $101 - $168 | 95% |
| Health Net | $101 - $5,846 | 95% |
| Healthy Way La | $101 | 95% |
| La Care Health Plan | $101 - $3,976 | 95% |
| Other Non-Contracting Medi-Cal | $101 | 95% |
| Physicians Healthways Medi-Cal | $101 - $7,230 | 95% |
| Aetna | $132 - $2,640 | 124% |
| Aids Health Foundation | $132 - $282 | 124% |
| Apa Aco Inc | $132 | 124% |
| Avanti | $132 - $282 | 124% |
| Blue Shield | $132 - $2,021 | 124% |
| Central Health Plan | $132 - $1,200 | 124% |
| Cms | $132 | 124% |
| Easy Choice Health Plan | $132 | 124% |
| Humana | $132 | 124% |
| Non-Contract Medi-Care | $132 | 124% |
| Pacific Alliance Medical Center Comm/Sr | $132 | 124% |
| UnitedHealthcare | $132 - $2,900 | 124% |
| Blue Shield Of California | $134 - $3,615 | 125% |
| Cv-19 Hrsa Uninsured Testing And Tx | $134 | 125% |
| First Health Network | $134 - $3,300 | 125% |
| La Care Covered Direct | $134 | 125% |
| Scan Health Plan Sr Hmo | $134 | 125% |
| Self-Pay | $134 | 125% |
| Ucla Impact Dept Of Uncology | $134 | 125% |
| Alignment Health Plan | $139 | 130% |
| Molina Healthcare | $139 | 130% |
| Molina Healthcare Of California | $139 - $168 | 130% |
| Inter Valley Health Plan | $141 | 132% |
| National Disaster Medical System | $148 | 139% |
| San Miguel Health Plan | $148 | 139% |
| Chinatown Service Center Pace | $161 | 151% |
| Ahmc Health Epo | $168 | 157% |
| Knox-Keene Act | $168 | 157% |
| Preferred Health Network | $170 | 159% |
| Interplan | $173 - $5,422 | 162% |
| Pacificare Of California Inc | $178 | 167% |
| Pacificare Ppo | $178 | 167% |
| Athens Administrators | $179 | 168% |
| Multiplan | $179 - $6,146 | 168% |
| Other Non-Contracted Workers Compensation | $179 | 168% |
| Health Net Comm/Hmo | $214 - $3,976 | 200% |
| Health Net Inc | $218 | 204% |
| Associated Hispanic Phys Of So Cal | $232 - $1,446 | 217% |
| Hollywood Presbyterian Advanced Med Mgmt Mcal | $282 | 264% |
| Hollywood Presbyterian Medpoint Mcal | $282 | 264% |
| State Of California Medi-Cal | $282 | 264% |
| Ahmc Healthcare Inc | $345 - $1,500 | 323% |
| Caloptima Direct | $415 | 389% |
| Molina Medical Group | $478 | 448% |
| Access Ipa Ancillary | $928 - $2,892 | 869% |
| Health Net Foundation Comm/Sr (Family Health Alliance) | $928 - $2,892 | 869% |
| Health Net Foundation M Cal (Family Health Alliance) | $928 - $2,892 | 869% |
| One Health Plan | $928 - $2,892 | 869% |
| Pacific Independent Physician Association | $928 - $2,892 | 869% |
| Phys Assoc Of San Gab Valley | $928 - $2,892 | 869% |
| Cigna | $1,301 | 1218% |
| Alhambra Hospital | $1,393 - $4,338 | 1304% |
| Corvel Corporation | $1,625 - $5,061 | 1521% |
| Fmc Los Angeles Co Epo | $1,741 - $5,422 | 1630% |
| Americas Health Plan | $1,973 - $6,146 | 1847% |
| Health Payors Organization | $2,089 - $6,507 | 1956% |
| East La Reg Ctr | $2,321 - $7,230 | 2173% |
| Non Contract Commercial | $2,321 - $7,230 | 2173% |
| One Legacy | $2,321 - $7,230 | 2173% |
| Private Pay | $2,321 - $7,230 | 2173% |