CMS Price Transparency Data

X-ray, chest (two views)

Facility: Alhambra Hospital Medical Center

Billing Code: 71046 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 71046
  • Insurance Median: $191
  • Cash Discount Price: $892
  • vs. Medicare Baseline: 2.15x Medicare
The contracted insurance negotiated median rate for a X-ray, chest (two views) at Alhambra Hospital Medical Center is $191. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $892. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 2.15x the Medicare baseline. Located in 100 S Raymond Ave, Alhambra, CA.
Cash / Self-Pay
$892

Average discount available for prompt cash payment at this facility.

Insurance Median
$191

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: $892 (1003%)
Insurance Median: $191 (215%)
Cash: $892 (1003% of Medicare)
Ins. Median: $191 (215% 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 215% of the Medicare baseline (a markup of 115%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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-Medi-Cal/Healthy Families $27 30%
Allied Physicians Of Ca Medi-Cal $27 30%
Citrus Valley Health Partners $27 30%
Health Net Medi-Cal $27 30%
Kaiser Medi-Cal $27 30%
La Care Pasc Seiu Misc $27 30%
Medi-Cal $27 30%
Miscellaneous Medi-Cal Hmo $27 30%
Aetna $28 - $112 31%
Blue Cross Blue Shield $32 - $191 36%
La Care Medi-Cal Hmo $32 36%
Stewart Mg Senior Hmo $67 75%
Blue Shield 65 Plus $106 119%
Apa Aco $108 121%
Altamed Senior Services $110 124%
Brand New Day Sr $110 124%
Central Health Plan Of Ca Senior Hmo $110 124%
Health Net Senior Hmo $110 124%
Medicare (plans) $110 - $658 124%
Humana $112 126%
La Care Exchange $112 126%
Miscellaneous Senior Hmo $112 126%
Tricare $112 126%
UnitedHealthcare $112 - $132 126%
Wellcare Senior Hmo $112 126%
Alignment Senior Hmo $116 130%
Health Net Salud Con Hmo $136 153%
Health Net Exchange $138 155%
Molina Exchange $138 155%
Miscellaneous Work Comp Hmo $149 168%
Ahmc Health $165 186%
Allied Physicians Of Ca Commercial $168 189%
Blue Shield Value Network Exchange $199 224%
Cigna $199 - $494 224%
Ahmc-Reciprocity-Comm/Senior $206 - $329 232%
Blue Shield Hmo/Ppo $222 250%
Health Net Ppo/Epo/Pos $233 262%
Allied Physicians Comm/Sr $240 - $384 270%
Allied Physicians Medi-Cal $240 - $384 270%
Wellcare Allied Senior Hmo $240 - $384 270%
Molina Health Plan $268 - $428 301%
Self Pay $275 - $439 309%
Health Net Exchange Enhanced Ppo $291 - $465 327%
Kaiser Commercial $426 - $680 479%
Scan Senior Plan $446 - $713 502%
Multiplan $549 - $878 617%
Miscellaneous Commercial Ppo/Hmo $686 - $1,097 772%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 100 S Raymond Ave, Alhambra, CA 91801
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals