CMS Price Transparency Data

X-ray, chest (single view)

Facility: Grossmont Hospital

Billing Code: 71045 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 71045
Insurance Median: $390
Cash Discount Price: $457
vs. Medicare Baseline: 4.39x Medicare

The contracted insurance negotiated median rate for a X-ray, chest (single view) at Grossmont Hospital is $390. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $457. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 4.39x the Medicare baseline. Located in 5555 Grossmont Center Drive Box 58, La Mesa, CA.

Cash / Self-Pay

$457

Average discount available for prompt cash payment at this facility.

Insurance Median

$390

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$88.91

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $88.91 (100%)

Cash / Self-Pay: $457 (514%)

Insurance Median: $390 (439%)

Cash: $457 (514% of Medicare)

Ins. Median: $390 (439% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $88.91 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 439% of the Medicare baseline (a markup of 339%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
Aetna	$91 - $1,293	102%
County Medical Services	$91	102%
Epic Americas	$91 - $207	102%
Health Net	$91 - $457	102%
Blue Cross Blue Shield	$181 - $1,185	204%
Community Health Group	$181 - $487	204%
Allianz Global Assistance	$207	233%
Medicare (plans)	$207 - $3,999	233%
Molina	$244 - $548	274%
Indian Health Council	$292	328%
Managed Health Network	$292	328%
Cigna	$304 - $457	342%
Blue Shield	$335	377%
Kaiser	$371	417%
California Health And Wellness	$381	429%
San Diego Pace	$404	454%
Humana	$426	479%
UnitedHealthcare	$426	479%

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 $457.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 71045.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Grossmont Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 71045.
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.