CMS Price Transparency Data

CT scan, lower back (lumbar spine)

Facility: Garfield Medical Center

Billing Code: 72131 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$160
about 1.5× the $107 Medicare rate · typically $135–$190
modeled estimate · not a bill or quote
What this hospital charges insurers
$173
About the fair price
about $13 over the fair price · 1.6× Medicare
Medicare pays $107 Fair price $160 This hospital $173 Cash price $6,274 Hospital's list price $6,274

How we calculate the fair BaseRate →

How this hospital compares to other CA hospitals

Highest price of the 9 CA hospitals we have prices for — worth calling around.

Cheapest $32 Priciest $173

Black dot = this hospital, among the 9 CA hospitals with a price for this procedure. Full list below.

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a CT scan, lower back (lumbar spine) is about $160 (about 1.5× the $107 Medicare rate). Garfield Medical Center charges insurers about $173, or about $6,274 in cash — about the fair price. Located in Monterey Park, CA.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $132 - $2,900 124%
Blue Cross Blue Shieldmajor $39 - $6,274 37%
Aetnamajor $132 - $6,172 124%
Cignamajor $1,301 - $3,576 1218%
Humanamajor $132 124%
Health Net $124 - $5,270 116%
Molina $139 - $1,350 130%
Presbyterian $334 313%
Sentara $491 460%
+ 50 smaller / regional plans $102 - $6,274
Government programs also on file: Medicaid, Military & VA.
Excludes 8 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

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Facility Profile & Credentials

  • Address: 525 N Garfield Ave, Monterey Park, CA 91754
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals