CMS Price Transparency Data

X-ray, chest (single view)

Facility: AHMC Anaheim Regional Medical Center

Billing Code: 71045 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 71045
  • Insurance Median: $112
  • Cash Discount Price: $590
  • vs. Medicare Baseline: 1.26x Medicare
The contracted insurance negotiated median rate for a X-ray, chest (single view) at AHMC Anaheim Regional Medical Center is $112. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $590. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.26x the Medicare baseline. Located in 1111 W La Palma Avenue, Anaheim, CA.
Cash / Self-Pay
$590

Average discount available for prompt cash payment at this facility.

Insurance Median
$112

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: $590 (664%)
Insurance Median: $112 (126%)
Cash: $590 (664% of Medicare)
Ins. Median: $112 (126% 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

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash 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
Ahmc Reciprocity Agreement $18 - $177 20%
Aids Health Foundation $18 - $110 20%
Allied Physicians $18 - $168 20%
Altamed Health Network $18 - $110 20%
Applecare Medical Group $18 20%
Avanti $18 - $134 20%
Beverly Hospital $18 - $123 20%
Brand New Day $18 - $140 20%
Emanate Health $18 - $140 20%
Health Net $18 20%
Health Net Inc $18 - $453 20%
Healthcare Partners $18 - $110 20%
Healthnet Cal Optima Medi-Cal/Healthy Families $18 20%
Healthy Way La $18 20%
Heritage Provider Network $18 - $151 20%
Hollywood Presbyterian Advanced Med Mgmt Mcal $18 20%
Hollywood Presbyterian Medpoint Mcal $18 20%
Kaiser Foundation Hospitals $18 - $110 20%
Medi-Cal $18 20%
Medical Safety Net Program $18 20%
Non Contracted Medi-Cal $18 20%
Talbert Medical Group $18 - $112 20%
Monarch Healthcare Medical Group $20 22%
Caloptima $22 - $110 25%
Monarch Health Plan $25 - $401 28%
Prospect Health Plan $25 - $151 28%
Aetna $31 - $110 35%
Private Pay Flat Rate $34 38%
Msi/Medical Services For Indigents $52 58%
Veterans Administration $78 88%
Prospect Medical Group $101 114%
Alta Los Angeles Hospital $105 118%
Tricare $106 119%
Alignment Health Plan $110 124%
Apa Aco Inc $110 124%
Blue Cross Blue Shield $110 - $355 124%
Blue Shield Of California $110 - $133 124%
California Health Plan $110 124%
Central Health Of California $110 124%
Davita Heatlhcare Partners Plan Inc $110 - $319 124%
Healthnet $110 124%
Humana $110 124%
Medicare (plans) $110 - $295 124%
Pacificare $110 124%
Scan Health Plan $110 124%
Seoul Medical Group $110 - $112 124%
Wellcare $110 124%
Cv-19 Hrsa Uninsured Testing And Tx I/P And O/P $112 126%
Innovative Integrated Health (Iih)/Orange County Pace $112 126%
Memorial Healthcare Ipa/Cap/Valuation Rates $112 126%
Self-Pay $112 126%
Nchp $116 130%
Align Senior Care $117 132%
Angels Baseball Workers Comp $127 143%
UnitedHealthcare $132 - $330 148%
Interplan $134 - $413 151%
Ahmc Health Self-Insurance Epo $140 157%
Knox-Keene Act $140 157%
First Health $144 - $502 162%
Orange County Preferred Provider Organization $144 - $442 162%
Netcare Life And Health Insurance $148 166%
Athens Administrators $149 168%
Capp Care $149 - $442 168%
Cigna $149 - $199 168%
Corvel $149 - $442 168%
Marriot Intl $149 168%
Non Contracted Workers Comp $149 168%
Advance Clinical Research Institute $177 199%
Memorial Healthcare Ipa $177 199%
Medical Acquisition Company $236 265%
Affiliated Doctors Of Orange County $266 299%
Healthcare Partners Commercial $319 359%
Huntington Memorial Hospital $319 359%
Genesis Healthcare Ipa Ancillary $354 398%
Affiliated Health Fund $413 465%
Allnet Preferred Provider $413 465%
Care First $413 465%
Private Healthcare Systems $413 465%
Choicecare $442 497%
Multiplan Inc $442 497%
National Provider Network $472 531%
Three Rivers Providers Network $472 531%
Health Payors Organization $531 597%
Non Contracted Commercial $590 664%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1111 W La Palma Avenue, Anaheim, CA 92801
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals