CMS Price Transparency Data
MRI, brain (with and without contrast)
Facility: Garfield Medical Center
Billing Code: 70553 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 70553
- Insurance Median: $597
- Cash Discount Price: $8,263
- vs. Medicare Baseline: 1.67x Medicare
The contracted insurance negotiated median rate for a MRI, brain (with and without contrast) at Garfield Medical Center is $597. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $8,263. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 1.67x the Medicare baseline. Located in 525 N Garfield Ave, Monterey Park, CA.
Cash / Self-Pay
$8,263
Average discount available for prompt cash payment at this facility.
Insurance Median
$597
Median negotiated contract rate across all mapped commercial carriers.
Medicare Reference Rate
$356.43
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. Medicare
Medicare Reference Baseline: $356.43 (100%)
Cash / Self-Pay: $8,263 (2318%)
Insurance Median: $597 (167%)
Cash: $8,263 (2318% of Medicare)
Ins. Median: $597 (167% of Medicare)
Understanding this gauge: We use the federal Medicare rate of $356.43 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 | $98 - $4,132 | 27% |
| Advantage Care Ipa | $227 - $8,263 | 64% |
| Physicians Healthways Medical Corporation | $227 - $8,263 | 64% |
| Beverly Hospital | $311 - $494 | 87% |
| Brand New Day | $311 - $561 | 87% |
| Care 1St Mcl/Gar Cap Reciprocity | $311 | 87% |
| Community Health Plan | $311 | 87% |
| Emanate Health | $311 - $561 | 87% |
| Health Net | $311 - $5,846 | 87% |
| Healthy Way La | $311 | 87% |
| La Care Health Plan | $311 - $4,000 | 87% |
| Other Non-Contracting Medi-Cal | $311 | 87% |
| Physicians Healthways Medi-Cal | $311 - $8,263 | 87% |
| Veterans Administration | $314 | 88% |
| Aetna | $442 - $2,640 | 124% |
| Aids Health Foundation | $442 - $1,367 | 124% |
| Apa Aco Inc | $442 | 124% |
| Avanti | $442 - $1,367 | 124% |
| Blue Shield | $442 - $10,650 | 124% |
| Central Health Plan | $442 - $3,305 | 124% |
| Cms | $442 | 124% |
| Easy Choice Health Plan | $442 | 124% |
| Humana | $442 | 124% |
| Non-Contract Medi-Care | $442 | 124% |
| Pacific Alliance Medical Center Comm/Sr | $442 | 124% |
| UnitedHealthcare | $442 - $2,900 | 124% |
| Blue Shield Of California | $449 - $9,562 | 126% |
| Cv-19 Hrsa Uninsured Testing And Tx | $449 | 126% |
| First Health Network | $449 - $3,300 | 126% |
| La Care Covered Direct | $449 | 126% |
| Scan Health Plan Sr Hmo | $449 | 126% |
| Self-Pay | $449 | 126% |
| Ucla Impact Dept Of Uncology | $449 | 126% |
| Ahmc Healthcare Inc | $451 - $1,500 | 127% |
| Alignment Health Plan | $464 | 130% |
| Molina Healthcare | $464 | 130% |
| Molina Healthcare Of California | $464 - $561 | 130% |
| Inter Valley Health Plan | $471 | 132% |
| National Disaster Medical System | $494 | 139% |
| San Miguel Health Plan | $494 | 139% |
| Molina Medical Group | $534 | 150% |
| Chinatown Service Center Pace | $538 | 151% |
| Ahmc Health Epo | $561 | 157% |
| Knox-Keene Act | $561 | 157% |
| Preferred Health Network | $567 | 159% |
| Interplan | $579 - $6,197 | 162% |
| Athens Administrators | $597 | 167% |
| Multiplan | $597 - $7,024 | 167% |
| Other Non-Contracted Workers Compensation | $597 | 167% |
| Pacificare Of California Inc | $602 | 169% |
| Pacificare Ppo | $602 | 169% |
| Health Net Comm/Hmo | $713 - $4,545 | 200% |
| Health Net Inc | $728 | 204% |
| Associated Hispanic Phys Of So Cal | $826 - $1,653 | 232% |
| Hollywood Presbyterian Advanced Med Mgmt Mcal | $1,367 | 384% |
| Hollywood Presbyterian Medpoint Mcal | $1,367 | 384% |
| State Of California Medi-Cal | $1,367 | 384% |
| Cigna | $1,774 | 498% |
| Caloptima Direct | $2,009 | 564% |
| Access Ipa Ancillary | $3,305 | 927% |
| Health Net Foundation Comm/Sr (Family Health Alliance) | $3,305 | 927% |
| Health Net Foundation M Cal (Family Health Alliance) | $3,305 | 927% |
| One Health Plan | $3,305 | 927% |
| Pacific Independent Physician Association | $3,305 | 927% |
| Phys Assoc Of San Gab Valley | $3,305 | 927% |
| Alhambra Hospital | $4,958 | 1391% |
| Corvel Corporation | $5,784 | 1623% |
| Fmc Los Angeles Co Epo | $6,197 | 1739% |
| Americas Health Plan | $7,024 | 1971% |
| Health Payors Organization | $7,437 | 2087% |
| East La Reg Ctr | $8,263 | 2318% |
| Non Contract Commercial | $8,263 | 2318% |
| One Legacy | $8,263 | 2318% |
| Private Pay | $8,263 | 2318% |