CMS Price Transparency Data
X-ray, chest (two views)
Facility: Garfield Medical Center
Billing Code: 71046 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 71046
- Insurance Median: $198
- Cash Discount Price: $703
- vs. Medicare Baseline: 2.23x Medicare
The contracted insurance negotiated median rate for a X-ray, chest (two views) at Garfield Medical Center is $198. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $703. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 2.23x the Medicare baseline. Located in 525 N Garfield Ave, Monterey Park, CA.
Cash / Self-Pay
$703
Average discount available for prompt cash payment at this facility.
Insurance Median
$198
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: $703 (791%)
Insurance Median: $198 (223%)
Cash: $703 (791% of Medicare)
Ins. Median: $198 (223% 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 223% of the Medicare baseline (a markup of 123%). 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.
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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 | $9 - $726 | 10% |
| Ahmc Healthcare Inc | $27 - $280 | 30% |
| Aids Health Foundation | $27 - $110 | 30% |
| Allied Physicians | $27 - $168 | 30% |
| Avanti | $27 - $134 | 30% |
| Beverly Hospital | $27 - $123 | 30% |
| Brand New Day | $27 - $140 | 30% |
| Care 1St Mcl/Gar Cap Reciprocity | $27 | 30% |
| Community Health Plan | $27 | 30% |
| Emanate Health | $27 - $140 | 30% |
| Health Net | $27 - $784 | 30% |
| Healthy Way La | $27 | 30% |
| Hollywood Presbyterian Advanced Med Mgmt Mcal | $27 | 30% |
| Hollywood Presbyterian Medpoint Mcal | $27 | 30% |
| La Care Health Plan | $27 - $513 | 30% |
| Other Non-Contracting Medi-Cal | $27 | 30% |
| Physicians Healthways Medi-Cal | $27 - $933 | 30% |
| State Of California Medi-Cal | $27 | 30% |
| Aetna | $29 - $679 | 33% |
| Physician Healthways Medical Corporation | $32 | 36% |
| Pacific Independent Physician Association | $38 - $149 | 43% |
| Caloptima Direct | $40 | 45% |
| Access Ipa Ancillary | $47 - $280 | 53% |
| Associated Hispanic Phys Of So Cal | $47 - $187 | 53% |
| Care First Health Plan | $47 - $93 | 53% |
| UnitedHealthcare | $47 - $560 | 53% |
| Veterans Administration | $78 | 88% |
| Employee Health Systems Mg | $95 - $187 | 107% |
| Apa Aco Inc | $110 | 124% |
| Blue Shield | $110 - $224 | 124% |
| Central Health Plan | $110 - $373 | 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 - $933 | 124% |
| Advantage Care Ipa | $112 - $933 | 126% |
| Blue Shield Of California | $112 - $466 | 126% |
| Cv-19 Hrsa Uninsured Testing And Tx | $112 | 126% |
| First Health Network | $112 - $653 | 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% |
| Ahmc Health Epo | $140 | 157% |
| Knox-Keene Act | $140 | 157% |
| Preferred Health Network | $141 | 159% |
| Family Health Alliance | $142 - $280 | 160% |
| Interplan | $144 - $700 | 162% |
| Athens Administrators | $149 | 168% |
| Multiplan | $149 - $793 | 168% |
| Other Non-Contracted Workers Compensation | $149 | 168% |
| Allied Physicians Risk Pool | $166 - $327 | 187% |
| Allied Physicians Risk Pool Agreement | $166 - $327 | 187% |
| Healthnet Medi Cal Cap | $166 - $327 | 187% |
| Pipa Risk Pool Agreement | $166 - $327 | 187% |
| Health Net Comm/Hmo | $178 - $513 | 200% |
| Health Net Inc | $182 | 205% |
| Molina Medical Group | $184 - $364 | 207% |
| Health Net Foundation Comm/Sr (Family Health Alliance) | $189 - $373 | 213% |
| Health Net Foundation M Cal (Family Health Alliance) | $189 - $373 | 213% |
| Phys Assoc Of San Gab Valley | $189 - $373 | 213% |
| Cigna | $199 | 224% |
| Allied Physicians Med Grp | $236 - $466 | 265% |
| Alhambra Hospital | $284 - $560 | 319% |
| Care 1St Health Plan | $284 - $560 | 319% |
| One Health Plan | $331 - $653 | 372% |
| Fmc Los Angeles Co Epo | $355 - $700 | 399% |
| Corvel Corporation | $378 - $746 | 425% |
| Americas Health Plan | $402 - $793 | 452% |
| Health Payors Organization | $426 - $840 | 479% |
| East La Reg Ctr | $473 - $933 | 532% |
| Non Contract Commercial | $473 - $933 | 532% |
| One Legacy | $473 - $933 | 532% |
| Private Pay | $473 - $933 | 532% |