CT scan, sinuses
Facility: Garfield Medical Center
Billing Code: 70486 (CPT)
- CPT Billing Code: 70486
- Insurance Median: $216
- Cash Discount Price: $6,380
- vs. Medicare Baseline: 2.02x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. 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 202% of the Medicare baseline (a markup of 102%). 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.
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 | $39 - $3,190 | 37% |
| Veterans Administration | $94 | 88% |
| Advantage Care Ipa | $102 - $6,380 | 95% |
| Physicians Healthways Medical Corporation | $102 - $6,380 | 95% |
| Beverly Hospital | $123 - $148 | 115% |
| Brand New Day | $123 - $168 | 115% |
| Care 1St Mcl/Gar Cap Reciprocity | $123 | 115% |
| Community Health Plan | $123 | 115% |
| Emanate Health | $123 - $168 | 115% |
| Health Net | $123 - $5,359 | 115% |
| Healthy Way La | $123 | 115% |
| La Care Health Plan | $123 - $3,509 | 115% |
| Other Non-Contracting Medi-Cal | $123 | 115% |
| Physicians Healthways Medi-Cal | $123 - $6,380 | 115% |
| Aetna | $132 - $2,640 | 124% |
| Aids Health Foundation | $132 - $299 | 124% |
| Apa Aco Inc | $132 | 124% |
| Avanti | $132 - $299 | 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 - $3,190 | 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 - $4,785 | 162% |
| Pacificare Of California Inc | $178 | 167% |
| Pacificare Ppo | $178 | 167% |
| Athens Administrators | $179 | 168% |
| Multiplan | $179 - $5,423 | 168% |
| Other Non-Contracted Workers Compensation | $179 | 168% |
| Health Net Comm/Hmo | $214 - $3,509 | 200% |
| Health Net Inc | $218 | 204% |
| Hollywood Presbyterian Advanced Med Mgmt Mcal | $299 | 280% |
| Hollywood Presbyterian Medpoint Mcal | $299 | 280% |
| State Of California Medi-Cal | $299 | 280% |
| Ahmc Healthcare Inc | $345 - $1,500 | 323% |
| Caloptima Direct | $440 | 412% |
| Molina Medical Group | $478 | 448% |
| Associated Hispanic Phys Of So Cal | $638 - $1,276 | 597% |
| Cigna | $1,301 | 1218% |
| Access Ipa Ancillary | $2,552 | 2389% |
| Health Net Foundation Comm/Sr (Family Health Alliance) | $2,552 | 2389% |
| Health Net Foundation M Cal (Family Health Alliance) | $2,552 | 2389% |
| One Health Plan | $2,552 | 2389% |
| Pacific Independent Physician Association | $2,552 | 2389% |
| Phys Assoc Of San Gab Valley | $2,552 | 2389% |
| Alhambra Hospital | $3,828 | 3584% |
| Corvel Corporation | $4,466 | 4181% |
| Fmc Los Angeles Co Epo | $4,785 | 4480% |
| Americas Health Plan | $5,423 | 5077% |
| Health Payors Organization | $5,742 | 5376% |
| East La Reg Ctr | $6,380 | 5973% |
| Non Contract Commercial | $6,380 | 5973% |
| One Legacy | $6,380 | 5973% |
| Private Pay | $6,380 | 5973% |