CMS Price Transparency Data
X-ray, chest (single view)
Facility: Garfield Medical Center
Billing Code: 71045 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 71045
- Insurance Median: $228
- Cash Discount Price: $500
- vs. Medicare Baseline: 2.56x Medicare
The contracted insurance negotiated median rate for a X-ray, chest (single view) at Garfield Medical Center is $228. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $500. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 2.56x the Medicare baseline. Located in 525 N Garfield Ave, Monterey Park, CA.
Cash / Self-Pay
$500
Average discount available for prompt cash payment at this facility.
Insurance Median
$228
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: $500 (562%)
Insurance Median: $228 (256%)
Cash: $500 (562% of Medicare)
Ins. Median: $228 (256% 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 256% of the Medicare baseline (a markup of 156%). 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 |
|---|---|---|
| Blue Cross Blue Shield | $6 - $506 | 7% |
| Aetna | $16 - $473 | 18% |
| Ahmc Healthcare Inc | $18 - $195 | 20% |
| Aids Health Foundation | $18 - $110 | 20% |
| Allied Physicians | $18 - $168 | 20% |
| Avanti | $18 - $134 | 20% |
| Beverly Hospital | $18 - $123 | 20% |
| Brand New Day | $18 - $140 | 20% |
| Care 1St Mcl/Gar Cap Reciprocity | $18 | 20% |
| Community Health Plan | $18 | 20% |
| Emanate Health | $18 - $140 | 20% |
| Health Net | $18 - $546 | 20% |
| Healthy Way La | $18 | 20% |
| Hollywood Presbyterian Advanced Med Mgmt Mcal | $18 | 20% |
| Hollywood Presbyterian Medpoint Mcal | $18 | 20% |
| La Care Health Plan | $18 - $358 | 20% |
| Other Non-Contracting Medi-Cal | $18 | 20% |
| Physicians Healthways Medi-Cal | $18 - $650 | 20% |
| State Of California Medi-Cal | $18 | 20% |
| Physician Healthways Medical Corporation | $20 | 22% |
| Caloptima Direct | $26 | 29% |
| Pacific Independent Physician Association | $36 - $104 | 40% |
| Access Ipa Ancillary | $45 - $195 | 51% |
| Associated Hispanic Phys Of So Cal | $45 - $130 | 51% |
| Care First Health Plan | $45 - $65 | 51% |
| UnitedHealthcare | $45 - $390 | 51% |
| Veterans Administration | $78 | 88% |
| Employee Health Systems Mg | $91 - $130 | 102% |
| Blue Shield Of California | $109 - $325 | 123% |
| Apa Aco Inc | $110 | 124% |
| Blue Shield | $110 - $122 | 124% |
| Central Health Plan | $110 - $260 | 124% |
| Cms | $110 | 124% |
| Easy Choice Health Plan | $110 | 124% |
| Humana | $110 | 124% |
| Non-Contract Medi-Care | $110 | 124% |
| Pacific Alliance Medical Center Comm/Sr | $110 | 124% |
| Physicians Healthways Medical Corporation | $110 - $650 | 124% |
| Advantage Care Ipa | $112 - $650 | 126% |
| Cv-19 Hrsa Uninsured Testing And Tx | $112 | 126% |
| First Health Network | $112 - $455 | 126% |
| La Care Covered Direct | $112 | 126% |
| Scan Health Plan Sr Hmo | $112 | 126% |
| Self-Pay | $112 | 126% |
| Ucla Impact Dept Of Uncology | $112 | 126% |
| Alignment Health Plan | $116 | 130% |
| Molina Healthcare | $116 | 130% |
| Molina Healthcare Of California | $116 - $140 | 130% |
| Inter Valley Health Plan | $118 | 133% |
| National Disaster Medical System | $123 | 138% |
| San Miguel Health Plan | $123 | 138% |
| Pacificare Of California Inc | $132 | 148% |
| Pacificare Ppo | $132 | 148% |
| Chinatown Service Center Pace | $134 | 151% |
| Family Health Alliance | $136 - $195 | 153% |
| Ahmc Health Epo | $140 | 157% |
| Knox-Keene Act | $140 | 157% |
| Preferred Health Network | $141 | 159% |
| Interplan | $144 - $488 | 162% |
| Athens Administrators | $149 | 168% |
| Multiplan | $149 - $552 | 168% |
| Other Non-Contracted Workers Compensation | $149 | 168% |
| Allied Physicians Risk Pool | $159 - $228 | 179% |
| Allied Physicians Risk Pool Agreement | $159 - $228 | 179% |
| Healthnet Medi Cal Cap | $159 - $228 | 179% |
| Pipa Risk Pool Agreement | $159 - $228 | 179% |
| Molina Medical Group | $177 - $254 | 199% |
| Health Net Comm/Hmo | $178 - $358 | 200% |
| Health Net Foundation Comm/Sr (Family Health Alliance) | $182 - $260 | 205% |
| Health Net Foundation M Cal (Family Health Alliance) | $182 - $260 | 205% |
| Health Net Inc | $182 | 205% |
| Phys Assoc Of San Gab Valley | $182 - $260 | 205% |
| Cigna | $199 | 224% |
| Allied Physicians Med Grp | $227 - $325 | 255% |
| Alhambra Hospital | $272 - $390 | 306% |
| Care 1St Health Plan | $272 - $390 | 306% |
| One Health Plan | $318 - $455 | 358% |
| Fmc Los Angeles Co Epo | $340 - $488 | 382% |
| Corvel Corporation | $363 - $520 | 408% |
| Americas Health Plan | $386 - $552 | 434% |
| Health Payors Organization | $409 - $585 | 460% |
| East La Reg Ctr | $454 - $650 | 511% |
| Non Contract Commercial | $454 - $650 | 511% |
| One Legacy | $454 - $650 | 511% |
| Private Pay | $454 - $650 | 511% |