CMS Price Transparency Data
CT scan, head (with contrast)
Facility: Garfield Medical Center
Billing Code: 70460 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 70460
- Insurance Median: $803
- Cash Discount Price: $6,657
- vs. Medicare Baseline: 4.48x Medicare
The contracted insurance negotiated median rate for a CT scan, head (with contrast) at Garfield Medical Center is $803. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $6,657. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 4.48x the Medicare baseline. Located in 525 N Garfield Ave, Monterey Park, CA.
Cash / Self-Pay
$6,657
Average discount available for prompt cash payment at this facility.
Insurance Median
$803
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: $6,657 (3715%)
Insurance Median: $803 (448%)
Cash: $6,657 (3715% of Medicare)
Ins. Median: $803 (448% 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.
Elevated Commercial Rate Alert (Value-Gap)
The negotiated rate at this facility is 448% of the Medicare baseline (a markup of 348%). 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 | $45 - $4,017 | 25% |
| Advantage Care Ipa | $92 - $8,034 | 51% |
| Physicians Healthways Medical Corporation | $92 - $8,034 | 51% |
| Beverly Hospital | $143 - $248 | 80% |
| Brand New Day | $143 - $282 | 80% |
| Care 1St Mcl/Gar Cap Reciprocity | $143 | 80% |
| Community Health Plan | $143 | 80% |
| Emanate Health | $143 - $282 | 80% |
| Health Net | $143 - $5,846 | 80% |
| Healthy Way La | $143 | 80% |
| La Care Health Plan | $143 - $4,000 | 80% |
| Other Non-Contracting Medi-Cal | $143 | 80% |
| Physicians Healthways Medi-Cal | $143 - $8,034 | 80% |
| Veterans Administration | $158 | 88% |
| Aetna | $222 - $2,640 | 124% |
| Aids Health Foundation | $222 - $330 | 124% |
| Apa Aco Inc | $222 | 124% |
| Avanti | $222 - $330 | 124% |
| Blue Shield | $222 - $2,418 | 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 - $4,017 | 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 - $6,026 | 162% |
| Pacificare Of California Inc | $292 | 163% |
| Pacificare Ppo | $292 | 163% |
| Athens Administrators | $300 | 167% |
| Multiplan | $300 - $6,829 | 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 - $4,419 | 200% |
| Health Net Inc | $366 | 204% |
| Molina Medical Group | $478 | 267% |
| Caloptima Direct | $485 | 271% |
| Associated Hispanic Phys Of So Cal | $528 - $1,607 | 295% |
| Cigna | $1,301 | 726% |
| Access Ipa Ancillary | $2,112 - $3,214 | 1179% |
| Health Net Foundation Comm/Sr (Family Health Alliance) | $2,112 - $3,214 | 1179% |
| Health Net Foundation M Cal (Family Health Alliance) | $2,112 - $3,214 | 1179% |
| One Health Plan | $2,112 - $3,214 | 1179% |
| Pacific Independent Physician Association | $2,112 - $3,214 | 1179% |
| Phys Assoc Of San Gab Valley | $2,112 - $3,214 | 1179% |
| Alhambra Hospital | $3,168 - $4,820 | 1768% |
| Corvel Corporation | $3,696 - $5,624 | 2063% |
| Fmc Los Angeles Co Epo | $3,960 - $6,026 | 2210% |
| Americas Health Plan | $4,488 - $6,829 | 2504% |
| Health Payors Organization | $4,752 - $7,231 | 2652% |
| East La Reg Ctr | $5,280 - $8,034 | 2946% |
| Non Contract Commercial | $5,280 - $8,034 | 2946% |
| One Legacy | $5,280 - $8,034 | 2946% |
| Private Pay | $5,280 - $8,034 | 2946% |