CMS Price Transparency Data

X-ray, chest (two views)

Facility: Grossmont Hospital

Billing Code: 71046 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 71046
Insurance Median: $449
Cash Discount Price: $533
vs. Medicare Baseline: 5.05x Medicare

The contracted insurance negotiated median rate for a X-ray, chest (two views) at Grossmont Hospital is $449. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $533. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 5.05x the Medicare baseline. Located in 5555 Grossmont Center Drive Box 58, La Mesa, CA.

Cash / Self-Pay

$533

Average discount available for prompt cash payment at this facility.

Insurance Median

$449

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: $533 (599%)

Insurance Median: $449 (505%)

Cash: $533 (599% of Medicare)

Ins. Median: $449 (505% 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 505% of the Medicare baseline (a markup of 405%). 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
Health Net	$106 - $639	119%
Medicare (plans)	$199	224%
Medi-Cal	$211	237%
Cigna	$241 - $532	271%
Indian Health Council	$241	271%
Community Health Group	$277	312%
California Health And Wellness	$281	316%
Multiplan	$284 - $568	319%
Blue Cross Blue Shield	$307 - $3,999	345%
Blue Shield	$340 - $547	382%
Humana	$341	384%
UnitedHealthcare	$355 - $626	399%
Molina	$395 - $497	444%
Aetna	$447 - $639	503%
County Medical Services	$3,999	4498%
Allianz Global Assistance	$7,998	8996%

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 $533.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 71046.

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 71046.
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.