CMS Price Transparency Data

X-ray, chest (single view)

Facility: City of Hope National Medical Center

Billing Code: 71045 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 71045
Insurance Median: $275
Cash Discount Price: $394
vs. Medicare Baseline: 3.09x Medicare

The contracted insurance negotiated median rate for a X-ray, chest (single view) at City of Hope National Medical Center is $275. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $394. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 3.09x the Medicare baseline. Located in 1500 Duarte Rd, Duarte, CA.

Cash / Self-Pay

$394

Average discount available for prompt cash payment at this facility.

Insurance Median

$275

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: $394 (443%)

Insurance Median: $275 (309%)

Cash: $394 (443% of Medicare)

Ins. Median: $275 (309% 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 309% of the Medicare baseline (a markup of 209%). 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	$7 - $382	8%
Cal Optima	$9 - $20	10%
Heritage Provider Network	$12 - $275	13%
Inland Empire	$15 - $315	17%
Prime Healthcare Keenan	$35 - $378	39%
Blue Cross Blue Shield	$130 - $275	146%
UnitedHealthcare	$220 - $248	247%
Blue Shield	$233 - $469	262%
Blue Shield Covca	$239	269%
Blue Shield Promise	$275	309%
Cencal	$315	354%
La Care Health	$315	354%
Kaiser	$354	398%
Aetna	$394	443%
Gold Coast	$394	443%
Molina	$394 - $512	443%
Cigna	$425	478%
Facey	$433	487%
Healthcare Partners	$456	513%
St. Joseph Heritage	$472	531%
Primecare Medical Network	$512	576%
First Health	$606	682%
Phcs Multiplan	$708	796%

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 $394.
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 City of Hope National Medical Center 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.