CMS Price Transparency Data
CT scan, head (with and without contrast)
Facility: Garfield Medical Center
Billing Code: 70470 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 70470
- Insurance Median: $330
- Cash Discount Price: $7,230
- vs. Medicare Baseline: 1.84x Medicare
The contracted insurance negotiated median rate for a CT scan, head (with and without contrast) at Garfield Medical Center is $330. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $7,230. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 1.84x the Medicare baseline. Located in 525 N Garfield Ave, Monterey Park, CA.
Cash / Self-Pay
$7,230
Average discount available for prompt cash payment at this facility.
Insurance Median
$330
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: $7,230 (4035%)
Insurance Median: $330 (184%)
Cash: $7,230 (4035% of Medicare)
Ins. Median: $330 (184% 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 |
|---|---|---|
| Blue Cross Blue Shield | $53 - $3,615 | 30% |
| Advantage Care Ipa | $114 - $7,230 | 64% |
| Physicians Healthways Medical Corporation | $114 - $7,230 | 64% |
| Veterans Administration | $158 | 88% |
| Beverly Hospital | $168 - $248 | 94% |
| Brand New Day | $168 - $282 | 94% |
| Care 1St Mcl/Gar Cap Reciprocity | $168 | 94% |
| Community Health Plan | $168 | 94% |
| Emanate Health | $168 - $282 | 94% |
| Health Net | $168 - $5,846 | 94% |
| Healthy Way La | $168 | 94% |
| La Care Health Plan | $168 - $3,976 | 94% |
| Other Non-Contracting Medi-Cal | $168 | 94% |
| Physicians Healthways Medi-Cal | $168 - $7,230 | 94% |
| Aetna | $222 - $2,640 | 124% |
| Aids Health Foundation | $222 - $330 | 124% |
| Apa Aco Inc | $222 | 124% |
| Avanti | $222 - $330 | 124% |
| Blue Shield | $222 - $3,026 | 124% |
| Central Health Plan | $222 - $1,200 | 124% |
| Cms | $222 | 124% |
| Easy Choice Health Plan | $222 | 124% |
| Humana | $222 | 124% |
| Non-Contract Medi-Care | $222 | 124% |
| Pacific Alliance Medical Center Comm/Sr | $222 | 124% |
| UnitedHealthcare | $222 - $2,900 | 124% |
| Blue Shield Of California | $226 - $3,615 | 126% |
| Cv-19 Hrsa Uninsured Testing And Tx | $226 | 126% |
| First Health Network | $226 - $3,300 | 126% |
| La Care Covered Direct | $226 | 126% |
| Scan Health Plan Sr Hmo | $226 | 126% |
| Self-Pay | $226 | 126% |
| Ucla Impact Dept Of Uncology | $226 | 126% |
| Alignment Health Plan | $233 | 130% |
| Molina Healthcare | $233 | 130% |
| Molina Healthcare Of California | $233 - $282 | 130% |
| Inter Valley Health Plan | $237 | 132% |
| National Disaster Medical System | $248 | 138% |
| San Miguel Health Plan | $248 | 138% |
| Chinatown Service Center Pace | $271 | 151% |
| Ahmc Health Epo | $282 | 157% |
| Knox-Keene Act | $282 | 157% |
| Preferred Health Network | $285 | 159% |
| Interplan | $291 - $5,422 | 162% |
| Pacificare Of California Inc | $292 | 163% |
| Pacificare Ppo | $292 | 163% |
| Athens Administrators | $300 | 167% |
| Multiplan | $300 - $6,146 | 167% |
| Other Non-Contracted Workers Compensation | $300 | 167% |
| Hollywood Presbyterian Advanced Med Mgmt Mcal | $330 | 184% |
| Hollywood Presbyterian Medpoint Mcal | $330 | 184% |
| State Of California Medi-Cal | $330 | 184% |
| Ahmc Healthcare Inc | $345 - $1,500 | 193% |
| Health Net Comm/Hmo | $358 - $3,976 | 200% |
| Health Net Inc | $366 | 204% |
| Molina Medical Group | $478 | 267% |
| Caloptima Direct | $485 | 271% |
| Associated Hispanic Phys Of So Cal | $723 - $1,446 | 403% |
| Cigna | $1,301 | 726% |
| Access Ipa Ancillary | $2,892 | 1614% |
| Health Net Foundation Comm/Sr (Family Health Alliance) | $2,892 | 1614% |
| Health Net Foundation M Cal (Family Health Alliance) | $2,892 | 1614% |
| One Health Plan | $2,892 | 1614% |
| Pacific Independent Physician Association | $2,892 | 1614% |
| Phys Assoc Of San Gab Valley | $2,892 | 1614% |
| Alhambra Hospital | $4,338 | 2421% |
| Corvel Corporation | $5,061 | 2824% |
| Fmc Los Angeles Co Epo | $5,422 | 3026% |
| Americas Health Plan | $6,146 | 3430% |
| Health Payors Organization | $6,507 | 3631% |
| East La Reg Ctr | $7,230 | 4035% |
| Non Contract Commercial | $7,230 | 4035% |
| One Legacy | $7,230 | 4035% |
| Private Pay | $7,230 | 4035% |