CMS Price Transparency Data

X-ray, chest (two views)

Facility: AHMC Seton Medical Center

Billing Code: 71046 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 71046
  • Insurance Median: $126
  • Cash Discount Price: $638
  • vs. Medicare Baseline: 1.42x Medicare
The contracted insurance negotiated median rate for a X-ray, chest (two views) at AHMC Seton Medical Center is $126. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $638. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.42x the Medicare baseline. Located in 1900 Sullivan Avenue, Daly City, CA.
Cash / Self-Pay
$638

Average discount available for prompt cash payment at this facility.

Insurance Median
$126

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: $638 (718%)
Insurance Median: $126 (142%)
Cash: $638 (718% of Medicare)
Ins. Median: $126 (142% 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
Blue Cross Blue Shield $9 - $605 10%
Health Plan Of San Mateo Healthworx $22 25%
Health Plan Of San Mateo $25 28%
Cmac $27 30%
Hill Physicians Medical Group Inc $27 - $38 30%
Kaiser $27 - $654 30%
Medi-Cal $27 30%
Asian American Medical Group $33 - $158 37%
Brown And Toland Medical Group $34 - $158 38%
San Mateo County/San Mateo County General Hospital $34 38%
North East Medical Services $38 - $124 43%
San Francisco Health Plan $38 43%
Jade Health Care Mg $41 - $124 46%
Veterans Administration (Va) $80 - $88 90%
Aetna $112 - $513 126%
Blue Shield Of California $112 - $289 126%
Brand New Day $112 - $158 126%
Care Advantage $112 - $124 126%
Chinese Community Health Plan $112 - $398 126%
For Your Benefit $112 - $124 126%
Healthnet Seniority $112 - $124 126%
Humana $112 - $124 126%
Imperial Health Plan $112 - $124 126%
Medicare (plans) $112 - $124 126%
Pacificare $112 - $124 126%
Tricare $113 - $126 127%
Apcmg $114 - $190 128%
Canopy Health $114 - $227 128%
Covid-19 Uninsured Program $114 - $126 128%
UnitedHealthcare $114 - $132 128%
Easy Choice Hospital Services $116 - $129 130%
Self Pay $120 - $271 135%
Central Health Plan $121 - $134 136%
Ahmc Health $142 - $158 160%
Knox-Keene Act $142 - $158 160%
Athens Administrators $156 - $168 175%
Corvel Healthcare $156 - $168 175%
Multiplan/Bce Emergis $156 - $598 175%
Work Comp Other $156 - $168 175%
Interplan Corporation $478 538%
Cigna $558 628%
Healthcare Foundation Of San Mateo $558 - $598 628%
Private Healthcare Sytems Inc $598 673%
The First Health Network $598 673%
Health Net $611 687%
Beech Street Corporation $638 718%
Choicecare Network $677 761%
Multiplan $677 761%
Mills Peninsula Health Services $717 806%
Indemnity $797 896%
Workers Compensation Federal $797 896%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1900 Sullivan Avenue, Daly City, CA 94015
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals