CMS Price Transparency Data

X-ray, chest (two views)

Facility: City of Hope National Medical Center

Billing Code: 71046 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 71046
Insurance Median: $314
Cash Discount Price: $449
vs. Medicare Baseline: 3.53x Medicare

The contracted insurance negotiated median rate for a X-ray, chest (two views) at City of Hope National Medical Center is $314. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $449. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 3.53x the Medicare baseline. Located in 1500 Duarte Rd, Duarte, CA.

Cash / Self-Pay

$449

Average discount available for prompt cash payment at this facility.

Insurance Median

$314

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: $449 (505%)

Insurance Median: $314 (353%)

Cash: $449 (505% of Medicare)

Ins. Median: $314 (353% 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 353% of the Medicare baseline (a markup of 253%). 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	$13 - $435	15%
Cal Optima	$18 - $27	20%
Heritage Provider Network	$23 - $314	26%
Inland Empire	$27 - $359	30%
Prime Healthcare Keenan	$47 - $431	53%
Blue Cross Blue Shield	$224 - $314	252%
UnitedHealthcare	$248 - $251	279%
Blue Shield	$266 - $535	299%
Blue Shield Covca	$273	307%
Blue Shield Promise	$314	353%
Cencal	$359	404%
La Care Health	$359	404%
Kaiser	$404	454%
Cigna	$425	478%
Aetna	$448	504%
Gold Coast	$448	504%
Molina	$448 - $583	504%
Facey	$493	554%
Healthcare Partners	$520	585%
St. Joseph Heritage	$538	605%
Primecare Medical Network	$583	656%
First Health	$691	777%
Phcs Multiplan	$807	908%

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 $449.
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 City of Hope National Medical Center 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.