CMS Price Transparency Data
X-ray, chest (single view)
Facility: San Gabriel Valley Medical Center
Billing Code: 71045 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 71045
- Insurance Median: $141
- Cash Discount Price: $164
- vs. Medicare Baseline: 1.59x Medicare
The contracted insurance negotiated median rate for a X-ray, chest (single view) at San Gabriel Valley Medical Center is $141. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $164. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.59x the Medicare baseline. Located in 438 W Las Tunas Drive, San Gabriel, CA.
Cash / Self-Pay
$164
Average discount available for prompt cash payment at this facility.
Insurance Median
$141
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: $164 (184%)
Insurance Median: $141 (159%)
Cash: $164 (184% of Medicare)
Ins. Median: $141 (159% 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.
Out-of-Pocket Cost Estimator
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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 |
|---|---|---|
| Blue Cross Blue Shield | $6 - $619 | 7% |
| Ahmc Medi-Cal Reciprocity | $10 - $18 | 11% |
| Aids Healthcare Foundation | $10 - $272 | 11% |
| Allied Physicians | $10 - $168 | 11% |
| Altamed Health Network | $10 - $110 | 11% |
| Avanti | $10 - $134 | 11% |
| Beverly Hospital | $10 - $123 | 11% |
| Brand New Day | $10 - $238 | 11% |
| Emanate Health | $10 - $140 | 11% |
| Healthnet Medi-Cal Non-Contract | $10 - $18 | 11% |
| Healthy Way La | $10 - $18 | 11% |
| Hollywood Presbyterian Adv Med Mcal | $10 - $18 | 11% |
| Hollywood Presbyterian Medpoint Mcal | $10 - $18 | 11% |
| Medicaid / KanCare | $10 - $18 | 11% |
| Non Contracting Medi Cal | $10 - $18 | 11% |
| Physicians Healthways | $10 - $112 | 11% |
| La Care Health Plan | $11 - $112 | 12% |
| Care 1St Health Plan | $14 - $442 | 16% |
| Aetna | $15 - $162 | 17% |
| Ahmc Reciprocity | $22 - $204 | 25% |
| Pacificare Of California | $24 - $222 | 27% |
| Alignment Healthplan | $26 - $238 | 29% |
| Clever Care | $26 - $238 | 29% |
| Molina Healthcare Of California | $28 - $265 | 31% |
| Pacific Independent Physician Associates | $29 - $272 | 33% |
| Health Net | $35 - $395 | 39% |
| Facey Medical | $36 - $340 | 40% |
| Central Health Plan | $44 - $408 | 49% |
| Community Care Network | $47 - $442 | 53% |
| Choicecare Network | $51 - $476 | 57% |
| Private Healthcare Systems (Phcs) | $51 - $476 | 57% |
| Affiliated Health Fund | $55 - $510 | 62% |
| Beech Street | $58 - $544 | 65% |
| Private Pay | $59 - $554 | 66% |
| Multiplan | $66 - $612 | 74% |
| Ppo Next | $66 - $612 | 74% |
| Athens Administrators | $73 - $149 | 82% |
| Managed Health Network | $73 - $680 | 82% |
| Medi-Cal Sub Acute | $73 - $680 | 82% |
| One Legacy | $73 - $680 | 82% |
| Other Non Contracted Commercial | $73 - $680 | 82% |
| Other Non Contracting Workers Comp | $73 - $149 | 82% |
| Us Behavioral Health Plan | $73 - $680 | 82% |
| Veterans Administration | $78 | 88% |
| Blue Shield Of California | $109 - $122 | 123% |
| Alignment Health Plan | $110 | 124% |
| Apa/Aco Inc | $110 | 124% |
| Health Net Inc | $110 - $261 | 124% |
| Humana | $110 | 124% |
| Medicare (plans) | $110 - $116 | 124% |
| Pacific Alliance Medical Center | $110 | 124% |
| Providence Health Network | $110 | 124% |
| Tricare | $110 | 124% |
| Wellcare | $110 | 124% |
| Cv-19 Hrsa Uninsured Testing And Tx | $112 | 126% |
| Inter Valley Health Plan | $112 | 126% |
| Self-Pay | $112 | 126% |
| St Vincent Medical Center/Psych | $112 | 126% |
| Chinatown Service Center Pace | $132 | 148% |
| UnitedHealthcare | $132 - $330 | 148% |
| Ahmc Health Self-Insurance Epo | $140 | 157% |
| Knox-Keene Act | $140 | 157% |
| Cigna | $199 | 224% |