CMS Price Transparency Data
CT scan, head (with contrast)
Facility: Children's Hosp of Los Angeles
Billing Code: 70460 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 70460
- Insurance Median: $585
- Cash Discount Price: $836
- vs. Medicare Baseline: 3.26x Medicare
The contracted insurance negotiated median rate for a CT scan, head (with contrast) at Children's Hosp of Los Angeles is $585. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $836. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 3.26x the Medicare baseline. Located in 4650 Sunset Blvd, Ms 108, Los Angeles, CA.
Cash / Self-Pay
$836
Average discount available for prompt cash payment at this facility.
Insurance Median
$585
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: $836 (467%)
Insurance Median: $585 (326%)
Cash: $836 (467% of Medicare)
Ins. Median: $585 (326% 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.
Elevated Commercial Rate Alert (Value-Gap)
The negotiated rate at this facility is 326% of the Medicare baseline (a markup of 226%). 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.
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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 |
|---|---|---|
| Molina | $125 - $697 | 70% |
| Inland Empire Health Plan | $125 - $680 | 70% |
| Medi-Cal | $125 - $330 | 70% |
| Medicare (plans) | $166 - $222 | 93% |
| Caloptima | $200 - $836 | 112% |
| Champus | $219 | 122% |
| UnitedHealthcare | $225 - $807 | 126% |
| Shriners Hospital | $251 | 140% |
| Medicaid / KanCare | $251 - $836 | 140% |
| St Francis Medical Center | $265 - $836 | 148% |
| Altamed | $315 - $836 | 176% |
| Valley Presbyterian Hospital | $330 - $836 | 184% |
| Point Comfort Underwriters | $330 | 184% |
| Community Family Care IPA | $330 - $836 | 184% |
| Incentive Health Network | $334 | 186% |
| Non-Contract Payors | $334 | 186% |
| Beech Street | $334 | 186% |
| Culinary Health Fund | $337 - $460 | 188% |
| Intl - Global Excel Management | $337 - $543 | 188% |
| Health Net | $349 - $1,045 | 195% |
| Serra Community Med Clinic | $351 - $836 | 196% |
| Intl - Aixin Life Insurance Co | $363 - $543 | 203% |
| La Care | $363 - $836 | 203% |
| Intl - Quality Health Management | $363 - $543 | 203% |
| Emanate Health Medical Center Mmc | $376 | 210% |
| Kaiser | $390 - $477 | 218% |
| Axminster Medical Group | $401 - $678 | 224% |
| St. John's Health Clinic | $401 - $678 | 224% |
| Facey Medical Group | $401 - $678 | 224% |
| Cigna | $403 | 225% |
| Adventist Health Physicians | $406 - $836 | 227% |
| Choc Health Alliance | $413 | 230% |
| Gemcare IPA | $418 - $639 | 233% |
| Citrus Valley Phys Grp | $418 - $650 | 233% |
| Sansum Clinic | $418 | 233% |
| Staywell Insurance | $418 | 233% |
| Mercy Care | $418 | 233% |
| Managed Care Systems | $418 - $639 | 233% |
| Accarent Health | $418 | 233% |
| Pioneer Prov Ntwk | $418 | 233% |
| Book Md | $435 | 243% |
| Good Samaritan Medical Group | $443 - $684 | 247% |
| Applecare Medical Group | $443 - $836 | 247% |
| Blue Shield | $451 - $836 | 252% |
| Bella Vista Med Grp | $460 - $836 | 257% |
| Intl - Global Medical Management | $460 | 257% |
| Community Care | $460 | 257% |
| Premier Physicians Ntwk | $460 - $836 | 257% |
| National Healthcare Solutions | $460 | 257% |
| Health Care La IPA | $460 - $836 | 257% |
| Centinela Valley IPA | $460 - $836 | 257% |
| Choice Medical Group | $460 | 257% |
| Aetna | $460 | 257% |
| Global Care Medical Group | $460 - $836 | 257% |
| Watts Healthcare Mmc | $482 - $836 | 269% |
| El Proyecto Del Barrio | $482 - $836 | 269% |
| Blue Cross Blue Shield | $488 - $836 | 272% |
| Seoul Medical Group | $493 - $684 | 275% |
| Access Medical Group | $493 - $620 | 275% |
| Hollywood Presbyterian Medical Center | $495 - $836 | 276% |
| Emanate Health Medical Center Commercial | $502 | 280% |
| Self-Pay | $502 | 280% |
| Preferred IPA - Commercial | $502 | 280% |
| Delta Health Systems | $502 | 280% |
| Ventura County Health Plan | $502 - $784 | 280% |
| Bright Medical Associates | $502 | 280% |
| Allied Pacific IPA | $502 - $836 | 280% |
| Family Care Specialists | $502 - $836 | 280% |
| Los Angeles Medical Center IPA | $502 - $836 | 280% |
| Alhambra Hospital Medical Center | $502 - $836 | 280% |
| Private Hlthcare System | $502 | 280% |
| Sanus Health | $502 | 280% |
| Heritage Provider Network | $504 - $836 | 281% |
| Sierra Health and Life Insurance Company | $523 | 292% |
| Serendib Healthways Mmc | $535 - $836 | 299% |
| Calvo Selectcare | $543 | 303% |
| Seaside Health Plan | $543 - $836 | 303% |
| Star Healthcare Network Commercial | $543 | 303% |
| Intl - Erv Travel Services | $543 - $585 | 303% |
| Serra Community Med Clinic - Commercial | $543 | 303% |
| Cedar Sinai Med Grp | $543 | 303% |
| Prime Health Services | $543 | 303% |
| Embassy - Saudi Arabia | $543 | 303% |
| Marian Health Services | $543 | 303% |
| Lakewood Health Plan | $543 | 303% |
| Plotkin Health | $543 | 303% |
| Redlands Community Hospital | $543 | 303% |
| Intl - Concierge Healthcare Services | $543 | 303% |
| Axis Services International | $543 | 303% |
| Intl - Msh China Enterprise Services | $543 | 303% |
| Care 1St | $578 - $836 | 323% |
| White Memorial Medical Center | $578 - $836 | 323% |
| Primecare Medical Network | $585 | 326% |
| Korean American Med Grp | $585 | 326% |
| Angeles IPA | $585 - $836 | 326% |
| Multiplan | $585 | 326% |
| Memorialcare Med Foundation | $585 | 326% |
| Beaver Medical Group | $585 | 326% |
| Noble Community Medical Associates | $591 - $836 | 330% |
| Karing Physicians Medical Group | $591 - $836 | 330% |
| Regent Medical Group | $591 - $836 | 330% |
| Avalon IPA | $594 - $836 | 331% |
| Mabuhay Medical Group | $594 - $836 | 331% |
| Primary Care and Pediatric IPA | $594 - $836 | 331% |
| Exceptional Care Medical Group | $594 - $836 | 331% |
| Cal Care IPA | $601 - $836 | 335% |
| Associated Hispanic Physicians IPA | $611 - $836 | 341% |
| Hispanic Physician IPA | $611 - $836 | 341% |
| Gold Coast Health Plan | $611 - $836 | 341% |
| Beverly Hospital | $614 - $836 | 343% |
| Pacific Alliance Medical Center | $614 - $836 | 343% |
| Preferred IPA | $614 - $836 | 343% |
| San Judas Med Grp | $617 - $836 | 344% |
| Family Health Alliance Med Grp | $624 - $836 | 348% |
| Prospect Medical Group | $627 | 350% |
| Interlink Health Services | $627 | 350% |
| Embassy - Kuwait | $627 | 350% |
| Accountable Health | $631 - $836 | 352% |
| Souther California Hosp System - Mmc | $633 - $836 | 353% |
| Cencal Health | $637 - $836 | 355% |
| Crown City Medical Group | $660 - $836 | 368% |
| Employee Health Systems Med Grp | $660 - $836 | 368% |
| Self-Pay International | $669 | 373% |
| Embassy - All Others | $669 | 373% |
| Imperial Health Holdings Medical Group | $673 - $836 | 376% |
| Healthy New Life Medical Corp | $690 - $836 | 385% |
| Asian Community Medical Group | $690 - $836 | 385% |
| California Pacific Physicians Medical Group | $690 - $836 | 385% |
| Community Care IPA Mmc | $730 - $836 | 407% |
| Dignity Health | $733 - $836 | 409% |
| Southern Atlantic Medical Group Mmc | $759 - $836 | 424% |
| Providence Health Network | $790 | 441% |
| Superior Choice Medical Group | $809 - $836 | 451% |
| Southland San Gabriel Valley Medical Group | $812 - $836 | 453% |
| Kern Family Health Plan | $812 - $836 | 453% |