CMS Price Transparency Data

X-ray, chest (two views)

Facility: Menifee Global Medical Center

Billing Code: 71046 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 71046
  • Insurance Median: $313
  • Cash Discount Price: $578
  • vs. Medicare Baseline: 3.52x Medicare
The contracted insurance negotiated median rate for a X-ray, chest (two views) at Menifee Global Medical Center is $313. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $578. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 3.52x the Medicare baseline. Located in 28400 McCall Boulevard, Sun City, CA.
Cash / Self-Pay
$578

Average discount available for prompt cash payment at this facility.

Insurance Median
$313

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: $578 (650%)
Insurance Median: $313 (352%)
Cash: $578 (650% of Medicare)
Ins. Median: $313 (352% 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 352% of the Medicare baseline (a markup of 252%). 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
Health Net Medi-Cal $27 30%
Hpn Mcal $27 30%
Ic $27 - $587 30%
Kaiser Medi-Cal $27 30%
Prospect Health Plan Mcal Hmo $28 31%
Blue Cross Blue Shield $29 33%
Tricare $30 - $104 34%
Lasalle Medical Assoc (Ancillary) Mcal Hmo $32 36%
Molina Medi-Cal $32 36%
Altamed Mcal Hmo $38 43%
Altamed Mcal/Pace $38 43%
Choice Physicians Network $38 43%
Iehp Medi-Cal $41 46%
Cigna $47 - $470 53%
Health Net Enhanced Ppo $50 - $156 56%
Aetna $111 - $321 125%
Altamed Comm Hmo (Ancillary) $111 - $587 125%
Altamed Health Services Senior $111 125%
Altamed Sr/Pace $111 125%
Blue Shield Senior $111 125%
Central Health Plan Senior $111 125%
Clever Care Health Plan Sr $111 125%
For Your Benefit Senior $111 125%
Guidant Health Plan Senior $111 125%
Health Net Senior $111 125%
Hpn Senior $111 125%
Humana $111 125%
Kaiser Senior $111 125%
Lasalle Medical Assoc (Ancillary) Senior $111 125%
Managed Health Network Sr $111 125%
Medicare (plans) $111 125%
Neighborhood Healthcare Pace $111 125%
Primecare Senior $111 125%
Prospect Health Plan Sr Hmo $111 125%
Scan Senior $111 125%
Sr Capitation $111 125%
UnitedHealthcare $111 - $129 125%
Veterans Administration $111 125%
Imperial Health Plan Of Ca $112 126%
Lasalle Medical Assoc (Ancillary) Commercial $112 126%
Point Comfort Underwriters $112 126%
Self Pay/Ab774/Charity Discount $112 126%
Molina Covered Ca $118 133%
Align Senior Care $125 141%
Welbehealth Sr/Pace $125 141%
Prime Health Services Senior $128 144%
Coventry $134 - $139 151%
Prime Health Services Wcomp $134 151%
Iehp Covered Ca $139 156%
Three Rivers Wcomp $146 164%
Workers Comp Non-Contracted $149 168%
Prospect Health Plan Comm Hmo $150 169%
Hpn Commercial/Covered Ca $156 175%
Health Net Comm $167 188%
Three Rivers Network $196 220%
Velocity $196 - $264 220%
First Health Commercial $260 - $308 292%
Blue Shield Epn $313 352%
Primecare Commercial $322 - $382 362%
Multiplan Ppo $347 - $411 390%
Multiplan Wcomp $347 - $411 390%
Blue Shield Commercial $369 415%
Pnoa-Provider Network Of America $397 - $470 447%
Prime Health Services Commercial $397 - $470 447%
Ava Hospice $496 - $587 558%
Kaiser Commercial $496 - $587 558%
Living Waters Hospice $496 - $587 558%
Managed Health Network $496 - $587 558%
Other Insurance Loa $496 - $587 558%
Pacific Valley Hospice $496 - $587 558%
Private Pay $496 - $587 558%
Silverado Hospice $496 - $587 558%
Vna Hospice $496 - $587 558%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 28400 McCall Boulevard, Sun City, CA 92585
  • CMS Rating: No CMS Rating
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals