CMS Price Transparency Data
X-ray, pelvis
Facility: Monterey Park Hospital
Billing Code: 72170 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 72170
- Insurance Median: $139
- Cash Discount Price: $1,140
- vs. Medicare Baseline: 1.30x Medicare
The contracted insurance negotiated median rate for a X-ray, pelvis at Monterey Park Hospital is $139. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,140. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.30x the Medicare baseline. Located in 900 S Atlantic Blvd, Monterey Park, CA.
Cash / Self-Pay
$1,140
Average discount available for prompt cash payment at this facility.
Insurance Median
$139
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: $1,140 (1067%)
Insurance Median: $139 (130%)
Cash: $1,140 (1067% of Medicare)
Ins. Median: $139 (130% 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 | $7 - $570 | 7% |
| Ucla/Impact Cancer | $8 | 7% |
| La Care Health Plan | $18 - $627 | 17% |
| Access Ipa Ancillary | $22 - $121 | 21% |
| Accountable Ipa | $22 | 21% |
| Ahmc Healthcare Inc | $22 - $342 | 21% |
| Allied Physicians | $22 - $202 | 21% |
| Alta Med Health Services Corp | $22 - $285 | 21% |
| Altamed Health Network | $22 - $132 | 21% |
| Altamed Health Services | $22 | 21% |
| Applecare Medical Group | $22 - $108 | 21% |
| Assess Ipa | $22 | 21% |
| Associated Hispanic Physicians Ancillary | $22 - $121 | 21% |
| Beverly Hospital | $22 - $148 | 21% |
| Brand New Day | $22 - $168 | 21% |
| Care 1St Mcl/Gar Cap | $22 | 21% |
| Community Health Plan | $22 | 21% |
| Esperanza Medical Group Ipa | $22 - $342 | 21% |
| Family Health Alliance Medical Group | $22 - $342 | 21% |
| Health Net Medi Cal | $22 | 21% |
| Healthnet Inc | $22 | 21% |
| Healthy Way La | $22 | 21% |
| La Care | $22 - $134 | 21% |
| Medical Managed Care Program | $22 | 21% |
| Molina Healthcare | $22 | 21% |
| Other Non-Contracted Medi-Cal | $22 | 21% |
| Preferred Ipa | $22 - $168 | 21% |
| Preferred Ipa Of California | $22 | 21% |
| Aetna | $26 - $830 | 24% |
| Alhambra Community Dialysis Unit Inc | $28 - $684 | 26% |
| Aids Health Foundation | $31 - $132 | 29% |
| Avanti | $31 - $161 | 29% |
| Bella Vista Medical Group Ancillary | $31 | 29% |
| Central Health Plan | $31 | 29% |
| Emanate Health | $31 - $168 | 29% |
| Hollywood Presbyterian Adv Med Mcal | $31 | 29% |
| Hollywood Presbyterian Medpoint Mcal | $31 | 29% |
| Maxi Med Inc/Ipa | $31 - $134 | 29% |
| Medi Cal | $31 | 29% |
| Pacific Independent Physician Association | $31 - $342 | 29% |
| Caloptima Direct | $46 | 43% |
| Veterans Administration | $94 | 88% |
| Bella Vista Medical Group | $108 - $342 | 101% |
| Altamed Health Services Corporation | $114 | 107% |
| Care 1St M Cal | $114 | 107% |
| Crown City Medical Group Inc | $114 | 107% |
| Garfield Medical Center | $114 | 107% |
| Physician Healthways | $114 - $285 | 107% |
| Universal Care M Cal/Advantage Health Network | $114 | 107% |
| Senior Citizens Choice | $119 | 111% |
| Alignment Health Plan | $130 | 122% |
| Apa/Aco Inc | $132 | 124% |
| Blue Shield Of California | $132 - $570 | 124% |
| Cms | $132 | 124% |
| Easy Choice Health Plan | $132 | 124% |
| First Health Senior | $132 | 124% |
| Foundation Health Plan | $132 | 124% |
| Health Net | $132 - $741 | 124% |
| Health Net Inc | $132 - $807 | 124% |
| Humana | $132 | 124% |
| Medicare (plans) | $132 - $139 | 124% |
| Scan Health Plan | $132 | 124% |
| Secure Horizons | $132 | 124% |
| UnitedHealthcare | $132 - $798 | 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% |
| Ahmc Health Epo | $168 | 157% |
| Knox-Keene Act | $168 | 157% |
| Molina Healthcare Of California | $168 | 157% |
| Preferred Health Network | $169 - $912 | 158% |
| Interplan | $173 - $855 | 162% |
| Asi Flex Ppo W/C | $178 | 167% |
| Athens Administrators | $178 | 167% |
| Indemnity W Comp Fee Schedule | $178 | 167% |
| Multiplan | $178 - $969 | 167% |
| Pacificare | $178 - $445 | 167% |
| Employee Health Systems Medical Group | $228 | 213% |
| Global Care Medical Group Ipa | $228 - $513 | 213% |
| Healthnet/Ehs Capitation | $228 | 213% |
| Cigna | $241 | 226% |
| Hispanic Physicians Ipa Medical Corporation | $285 | 267% |
| Ahmc Reciprocity Agreement Senior/Commercial | $342 | 320% |
| Allied Physicians Ipa | $342 | 320% |
| Community Health Plan M Cal Joy Ipa | $342 | 320% |
| Tenet Reciprocity | $342 | 320% |
| Health Net Of California | $400 - $682 | 374% |
| Healthcare Partners Affiliates Medical Group | $407 | 381% |
| Molina Medical Centers | $445 | 417% |
| Central Health Plan Of California | $456 | 427% |
| Care 1St Health Plan | $684 | 640% |
| Greater Los Angeles Dialysis Inc | $684 | 640% |
| One Health Plan | $684 - $775 | 640% |
| Choice Care Network | $741 | 694% |
| Healthnet | $741 | 694% |
| Universal Care | $798 | 747% |
| Corvel Corporation | $912 - $925 | 854% |
| Bce Emergis Corp | $969 | 907% |
| Commercial Non Contract | $1,140 | 1067% |
| Mri/Ct Greater El Monte Hospital | $1,140 | 1067% |
| Mri/Mra/Alhambra Hospital | $1,140 | 1067% |
| Mri/Mra/Eladh | $1,140 | 1067% |
| One Legacy | $1,140 | 1067% |