CMS Price Transparency Data

CT scan, head (no contrast)

Facility: Greater El Monte Community Hospital

Billing Code: 70450 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70450
  • Insurance Median: $372
  • Cash Discount Price: $1,379
  • vs. Medicare Baseline: 3.48x Medicare
The contracted insurance negotiated median rate for a CT scan, head (no contrast) at Greater El Monte Community Hospital is $372. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,379. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 3.48x the Medicare baseline. Located in 1701 Santa Anita Ave, South El Monte, CA.
Cash / Self-Pay
$1,379

Average discount available for prompt cash payment at this facility.

Insurance Median
$372

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: $1,379 (1291%)
Insurance Median: $372 (348%)
Cash: $1,379 (1291% of Medicare)
Ins. Median: $372 (348% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 348% of the Medicare baseline (a markup of 248%). 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.

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
In Custody-Ca Highway Patrol $20 19%
Blue Cross Blue Shield $32 - $1,528 30%
Care 1St Medi Cal Hmo Cap Exceptional Care $41 - $200 38%
Clinica Medica Familiar $45 - $336 42%
Bella Vista Medical Group Ipa $82 - $1,376 77%
Global Care Medical Group Ipa $82 - $1,376 77%
Veterans Administration $94 88%
Aids Health Foundation $101 - $132 95%
Altamed Health Network $101 - $132 95%
Avanti $101 - $161 95%
Beverly Hospital $101 - $148 95%
Brand New Day $101 - $168 95%
Emanate Health $101 - $168 95%
Health Net Foundation $101 - $1,987 95%
Healthy Way La $101 95%
La Care Health Plan $101 - $1,681 95%
Other Non Contracted Medi-Cal Hmo $101 95%
State Of California $101 95%
Alta Med Health Services Med Grp $102 - $764 95%
Associated Hispanic Physicians $121 - $282 113%
Ahmc Reciprocity Agreement Senior/Commercial $122 - $917 114%
Good Samaritan Medical Practice Assoc $122 - $1,834 114%
Apa/Aco Inc $132 124%
Blue Shield Of California $132 - $2,003 124%
Cms $132 124%
Easy Choice Health Plan $132 124%
Health Net Inc $132 - $2,164 124%
Other Non Contracted Senior Hmo $132 124%
Pacific Alliance Medical Center Reciprocal Contract $132 124%
Scan Health Plan $132 124%
UnitedHealthcare $132 - $2,624 124%
Champus Foundation $134 125%
Cv-19 Hrsa Uninsured Testing And Tx I/P And O/P $134 125%
La Care Covered Direct $134 125%
Pacificare Of California $134 125%
Self-Pay $134 125%
Alignment Health Plan $139 130%
Molina Healthcare $139 130%
Inter Valley Health Plan $141 132%
Molina Healthcare Of California $141 - $450 132%
San Miguel Health Plan $148 139%
Caloptima $149 140%
Chinatown Service Center Pace $159 149%
Intercomp $161 151%
Ahmc Health Self-Insurance Epo $168 157%
Knox-Keene Act $168 157%
Preferred Health Network $170 159%
Interplan $173 - $2,293 162%
Athens Administrators $179 168%
Multiplan $179 - $2,598 168%
Other Non Contracted Work Comp $179 168%
California Thoroughbred Horesmans Foundation $204 - $1,528 191%
Universal Care $250 - $1,250 234%
In Custody Police Dept $265 - $1,987 248%
Hollywood Presbyterian Adv Med Mcal $282 264%
Hollywood Presbyterian Medpoint Mcal $282 264%
Central Health Plan $300 - $505 281%
Community Care Network $326 - $2,446 305%
Ahmc Reciprocity Agreement $345 323%
Health Payors Organization $367 - $2,751 344%
Commercial Non Contract $408 - $3,057 382%
Medi-Cal Sub Acute $408 - $3,057 382%
Nuclear Medicine/Whmc $408 - $3,057 382%
One Legacy $408 - $3,057 382%
Cost Containment Strategies $450 421%
Employee Health Systems Medical Group $450 421%
Cigna $1,565 1465%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1701 Santa Anita Ave, South El Monte, CA 91733
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals