CMS Price Transparency Data

CT scan, head (with contrast)

Facility: Martin Luther King, Jr. Community Hospital

Billing Code: 70460 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70460
Insurance Median: $239
Cash Discount Price: $2,704
vs. Medicare Baseline: 1.33x Medicare

The contracted insurance negotiated median rate for a CT scan, head (with contrast) at Martin Luther King, Jr. Community Hospital is $239. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,704. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 1.33x the Medicare baseline. Located in 1680 East 120Th Street, Los Angeles, CA.

Cash / Self-Pay

$2,704

Average discount available for prompt cash payment at this facility.

Insurance Median

$239

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$179.2

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $179.2 (100%)

Cash / Self-Pay: $2,704 (1509%)

Insurance Median: $239 (133%)

Cash: $2,704 (1509% of Medicare)

Ins. Median: $239 (133% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $179.2 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.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Preferred Professional Medical Corporation (Ipa) Of California	$44 - $135	25%
Alta	$143 - $226	80%
Brand New Day	$143 - $8,537	80%
Care1St Health	$143 - $226	80%
Molina Healthcare	$150 - $282	84%
Heritage Provider Network (Hpn)	$214	119%
UnitedHealthcare	$241	134%
Health Net	$256 - $4,269	143%
La Care Health	$257	143%
La Care Health Pasc-Seui	$264	147%
La Care Health Plan	$264	147%
Santa Monica Unite Here	$571	319%
Blue Shield Of California	$5,834 - $6,460	3256%
Multiplan	$11,383	6352%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $2,704.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 70460.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Martin Luther King, Jr. Community Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 70460.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.