CMS Price Transparency Data
X-ray, lower back
Facility: Monterey Park Hospital
Billing Code: 72110 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 72110
- Insurance Median: $158
- Cash Discount Price: $1,578
- vs. Medicare Baseline: 1.48x Medicare
The contracted insurance negotiated median rate for a X-ray, lower back at Monterey Park Hospital is $158. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,578. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.48x the Medicare baseline. Located in 900 S Atlantic Blvd, Monterey Park, CA.
Cash / Self-Pay
$1,578
Average discount available for prompt cash payment at this facility.
Insurance Median
$158
Median negotiated contract rate across all mapped commercial carriers.
Medicare Reference Rate
$106.81
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. Medicare
Medicare Reference Baseline: $106.81 (100%)
Cash / Self-Pay: $1,578 (1477%)
Insurance Median: $158 (148%)
Cash: $1,578 (1477% of Medicare)
Ins. Median: $158 (148% of Medicare)
Understanding this gauge: We use the federal Medicare rate of $106.81 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
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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 | $14 - $789 | 13% |
| Ucla/Impact Cancer | $16 | 15% |
| La Care Health Plan | $35 - $868 | 33% |
| Access Ipa Ancillary | $44 - $121 | 41% |
| Accountable Ipa | $44 | 41% |
| Ahmc Healthcare Inc | $44 - $473 | 41% |
| Allied Physicians | $44 - $202 | 41% |
| Alta Med Health Services Corp | $44 - $394 | 41% |
| Altamed Health Network | $44 - $132 | 41% |
| Altamed Health Services | $44 | 41% |
| Applecare Medical Group | $44 - $108 | 41% |
| Assess Ipa | $44 | 41% |
| Associated Hispanic Physicians Ancillary | $44 - $121 | 41% |
| Beverly Hospital | $44 - $148 | 41% |
| Brand New Day | $44 - $168 | 41% |
| Care 1St Mcl/Gar Cap | $44 | 41% |
| Community Health Plan | $44 | 41% |
| Esperanza Medical Group Ipa | $44 - $473 | 41% |
| Family Health Alliance Medical Group | $44 - $473 | 41% |
| Health Net Medi Cal | $44 | 41% |
| Healthnet Inc | $44 | 41% |
| Healthy Way La | $44 | 41% |
| La Care | $44 - $134 | 41% |
| Medical Managed Care Program | $44 | 41% |
| Molina Healthcare | $44 | 41% |
| Other Non-Contracted Medi-Cal | $44 | 41% |
| Preferred Ipa | $44 - $168 | 41% |
| Preferred Ipa Of California | $44 | 41% |
| Aetna | $58 - $1,149 | 54% |
| Alhambra Community Dialysis Unit Inc | $64 - $947 | 60% |
| Aids Health Foundation | $71 - $132 | 66% |
| Avanti | $71 - $161 | 66% |
| Bella Vista Medical Group Ancillary | $71 | 66% |
| Central Health Plan | $71 | 66% |
| Emanate Health | $71 - $168 | 66% |
| Hollywood Presbyterian Adv Med Mcal | $71 | 66% |
| Hollywood Presbyterian Medpoint Mcal | $71 | 66% |
| Maxi Med Inc/Ipa | $71 - $134 | 66% |
| Medi Cal | $71 | 66% |
| Pacific Independent Physician Association | $71 - $473 | 66% |
| Veterans Administration | $94 | 88% |
| Caloptima Direct | $105 | 98% |
| Bella Vista Medical Group | $108 - $473 | 101% |
| Senior Citizens Choice | $119 | 111% |
| Alignment Health Plan | $130 | 122% |
| Apa/Aco Inc | $132 | 124% |
| Blue Shield Of California | $132 - $789 | 124% |
| Cms | $132 | 124% |
| Easy Choice Health Plan | $132 | 124% |
| First Health Senior | $132 | 124% |
| Foundation Health Plan | $132 | 124% |
| Health Net | $132 - $1,026 | 124% |
| Health Net Inc | $132 - $1,117 | 124% |
| Humana | $132 | 124% |
| Medicare (plans) | $132 - $139 | 124% |
| Scan Health Plan | $132 | 124% |
| Secure Horizons | $132 | 124% |
| UnitedHealthcare | $132 - $1,105 | 124% |
| Cv-19 Hrsa Uninsured Testing And Tx I/P And O/P | $134 | 125% |
| La Care Covered Direct | $134 | 125% |
| Self-Pay | $134 | 125% |
| Molina Healthcare Medi-Connect | $139 | 130% |
| San Miguel Health Plan | $148 | 139% |
| Altamed Health Services Corporation | $158 | 148% |
| Care 1St M Cal | $158 | 148% |
| Crown City Medical Group Inc | $158 | 148% |
| Garfield Medical Center | $158 | 148% |
| Physician Healthways | $158 - $394 | 148% |
| Universal Care M Cal/Advantage Health Network | $158 | 148% |
| Ahmc Health Epo | $168 | 157% |
| Knox-Keene Act | $168 | 157% |
| Molina Healthcare Of California | $168 | 157% |
| Preferred Health Network | $169 - $1,262 | 158% |
| Interplan | $173 - $1,184 | 162% |
| Asi Flex Ppo W/C | $178 | 167% |
| Athens Administrators | $178 | 167% |
| Indemnity W Comp Fee Schedule | $178 | 167% |
| Multiplan | $178 - $1,341 | 167% |
| Pacificare | $178 - $445 | 167% |
| Cigna | $241 | 226% |
| Employee Health Systems Medical Group | $316 | 296% |
| Global Care Medical Group Ipa | $316 - $710 | 296% |
| Healthnet/Ehs Capitation | $316 | 296% |
| Hispanic Physicians Ipa Medical Corporation | $394 | 369% |
| Health Net Of California | $400 - $944 | 374% |
| Ahmc Reciprocity Agreement Senior/Commercial | $473 | 443% |
| Allied Physicians Ipa | $473 | 443% |
| Community Health Plan M Cal Joy Ipa | $473 | 443% |
| Tenet Reciprocity | $473 | 443% |
| Healthcare Partners Affiliates Medical Group | $563 | 527% |
| Molina Medical Centers | $615 | 576% |
| Central Health Plan Of California | $631 | 591% |
| One Health Plan | $775 - $947 | 726% |
| Corvel Corporation | $925 - $1,262 | 866% |
| Care 1St Health Plan | $947 | 887% |
| Greater Los Angeles Dialysis Inc | $947 | 887% |
| Universal Care | $1,000 - $1,105 | 936% |
| Choice Care Network | $1,026 | 961% |
| Healthnet | $1,026 | 961% |
| Bce Emergis Corp | $1,341 | 1256% |
| Commercial Non Contract | $1,578 | 1477% |
| Mri/Ct Greater El Monte Hospital | $1,578 | 1477% |
| Mri/Mra/Alhambra Hospital | $1,578 | 1477% |
| Mri/Mra/Eladh | $1,578 | 1477% |
| One Legacy | $1,578 | 1477% |