CMS Price Transparency Data
Ultrasound, abdomen (limited)
Facility: Garfield Medical Center
Billing Code: 76705 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 76705
- Insurance Median: $172
- Cash Discount Price: $1,432
- vs. Medicare Baseline: 1.61x Medicare
The contracted insurance negotiated median rate for a Ultrasound, abdomen (limited) at Garfield Medical Center is $172. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,432. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.61x the Medicare baseline. Located in 525 N Garfield Ave, Monterey Park, CA.
Cash / Self-Pay
$1,432
Average discount available for prompt cash payment at this facility.
Insurance Median
$172
Median negotiated contract rate across all mapped commercial carriers.
Medicare Reference Rate
$106.81
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. Medicare
Medicare Reference Baseline: $106.81 (100%)
Cash / Self-Pay: $1,432 (1341%)
Insurance Median: $172 (161%)
Cash: $1,432 (1341% of Medicare)
Ins. Median: $172 (161% of 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.
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 | $19 - $716 | 18% |
| Advantage Care Ipa | $61 - $1,432 | 57% |
| Ahmc Healthcare Inc | $61 - $430 | 57% |
| Allied Physicians | $61 - $202 | 57% |
| Beverly Hospital | $61 - $148 | 57% |
| Brand New Day | $61 - $168 | 57% |
| Care 1St Mcl/Gar Cap Reciprocity | $61 | 57% |
| Community Health Plan | $61 | 57% |
| Emanate Health | $61 - $168 | 57% |
| Health Net | $61 - $1,203 | 57% |
| Healthy Way La | $61 | 57% |
| La Care Health Plan | $61 - $788 | 57% |
| Other Non-Contracting Medi-Cal | $61 | 57% |
| Physicians Healthways Medi-Cal | $61 - $1,432 | 57% |
| Physicians Healthways Medical Corporation | $65 - $1,432 | 61% |
| Aids Health Foundation | $87 - $132 | 81% |
| Avanti | $87 - $161 | 81% |
| Hollywood Presbyterian Advanced Med Mgmt Mcal | $87 | 81% |
| Hollywood Presbyterian Medpoint Mcal | $87 | 81% |
| State Of California Medi-Cal | $87 | 81% |
| Veterans Administration | $94 | 88% |
| Physician Healthways Medical Corporation | $100 | 94% |
| Pacific Independent Physician Association | $115 - $229 | 108% |
| Aetna | $118 - $1,042 | 110% |
| Caloptima Direct | $128 | 120% |
| Apa Aco Inc | $132 | 124% |
| Blue Shield | $132 - $611 | 124% |
| Central Health Plan | $132 - $573 | 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 - $859 | 124% |
| Blue Shield Of California | $134 - $716 | 125% |
| Cv-19 Hrsa Uninsured Testing And Tx | $134 | 125% |
| First Health Network | $134 - $1,002 | 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% |
| Access Ipa Ancillary | $143 - $430 | 134% |
| Associated Hispanic Phys Of So Cal | $143 - $286 | 134% |
| Care First Health Plan | $143 | 134% |
| 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 - $1,074 | 162% |
| Pacificare Of California Inc | $178 | 167% |
| Pacificare Ppo | $178 | 167% |
| Athens Administrators | $179 | 168% |
| Multiplan | $179 - $1,217 | 168% |
| Other Non-Contracted Workers Compensation | $179 | 168% |
| Health Net Comm/Hmo | $214 - $788 | 200% |
| Health Net Inc | $218 | 204% |
| Cigna | $241 | 226% |
| Employee Health Systems Mg | $286 | 268% |
| Family Health Alliance | $430 | 403% |
| Allied Physicians Risk Pool | $501 | 469% |
| Allied Physicians Risk Pool Agreement | $501 | 469% |
| Healthnet Medi Cal Cap | $501 | 469% |
| Pipa Risk Pool Agreement | $501 | 469% |
| Molina Medical Group | $558 | 522% |
| Health Net Foundation Comm/Sr (Family Health Alliance) | $573 | 536% |
| Health Net Foundation M Cal (Family Health Alliance) | $573 | 536% |
| Phys Assoc Of San Gab Valley | $573 | 536% |
| Allied Physicians Med Grp | $716 | 670% |
| Alhambra Hospital | $859 | 804% |
| Care 1St Health Plan | $859 | 804% |
| One Health Plan | $1,002 | 938% |
| Fmc Los Angeles Co Epo | $1,074 | 1006% |
| Corvel Corporation | $1,146 | 1073% |
| Americas Health Plan | $1,217 | 1139% |
| Health Payors Organization | $1,289 | 1207% |
| East La Reg Ctr | $1,432 | 1341% |
| Non Contract Commercial | $1,432 | 1341% |
| One Legacy | $1,432 | 1341% |
| Private Pay | $1,432 | 1341% |