CMS Price Transparency Data
X-ray, hip
Facility: Garfield Medical Center
Billing Code: 73502 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 73502
- Insurance Median: $140
- Cash Discount Price: $657
- vs. Medicare Baseline: 1.57x Medicare
The contracted insurance negotiated median rate for a X-ray, hip at Garfield Medical Center is $140. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $657. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.57x the Medicare baseline. Located in 525 N Garfield Ave, Monterey Park, CA.
Cash / Self-Pay
$657
Average discount available for prompt cash payment at this facility.
Insurance Median
$140
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: $657 (739%)
Insurance Median: $140 (157%)
Cash: $657 (739% of Medicare)
Ins. Median: $140 (157% 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.
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 | $12 - $511 | 13% |
| Ahmc Healthcare Inc | $37 - $197 | 42% |
| Aids Health Foundation | $37 - $110 | 42% |
| Allied Physicians | $37 - $168 | 42% |
| Avanti | $37 - $134 | 42% |
| Beverly Hospital | $37 - $123 | 42% |
| Brand New Day | $37 - $140 | 42% |
| Care 1St Mcl/Gar Cap Reciprocity | $37 | 42% |
| Community Health Plan | $37 | 42% |
| Emanate Health | $37 - $140 | 42% |
| Health Net | $37 - $552 | 42% |
| Healthy Way La | $37 | 42% |
| Hollywood Presbyterian Advanced Med Mgmt Mcal | $37 | 42% |
| Hollywood Presbyterian Medpoint Mcal | $37 | 42% |
| La Care Health Plan | $37 - $361 | 42% |
| Other Non-Contracting Medi-Cal | $37 | 42% |
| Physicians Healthways Medi-Cal | $37 - $657 | 42% |
| State Of California Medi-Cal | $37 | 42% |
| Aetna | $43 - $478 | 48% |
| Physician Healthways Medical Corporation | $43 | 48% |
| Pacific Independent Physician Association | $53 - $105 | 60% |
| Caloptima Direct | $55 | 62% |
| Access Ipa Ancillary | $66 - $197 | 74% |
| Associated Hispanic Phys Of So Cal | $66 - $131 | 74% |
| Care First Health Plan | $66 | 74% |
| UnitedHealthcare | $66 - $394 | 74% |
| Veterans Administration | $78 | 88% |
| Apa Aco Inc | $110 | 124% |
| Blue Shield | $110 - $342 | 124% |
| Central Health Plan | $110 - $263 | 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 - $657 | 124% |
| Advantage Care Ipa | $112 - $657 | 126% |
| Blue Shield Of California | $112 - $328 | 126% |
| Cv-19 Hrsa Uninsured Testing And Tx | $112 | 126% |
| First Health Network | $112 - $460 | 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% |
| Employee Health Systems Mg | $131 | 147% |
| 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% |
| Interplan | $144 - $493 | 162% |
| Athens Administrators | $149 | 168% |
| Multiplan | $149 - $558 | 168% |
| Other Non-Contracted Workers Compensation | $149 | 168% |
| Health Net Comm/Hmo | $178 - $361 | 200% |
| Health Net Inc | $182 | 205% |
| Family Health Alliance | $197 | 222% |
| Cigna | $199 | 224% |
| Allied Physicians Risk Pool | $230 | 259% |
| Allied Physicians Risk Pool Agreement | $230 | 259% |
| Healthnet Medi Cal Cap | $230 | 259% |
| Pipa Risk Pool Agreement | $230 | 259% |
| Molina Medical Group | $256 | 288% |
| Health Net Foundation Comm/Sr (Family Health Alliance) | $263 | 296% |
| Health Net Foundation M Cal (Family Health Alliance) | $263 | 296% |
| Phys Assoc Of San Gab Valley | $263 | 296% |
| Allied Physicians Med Grp | $328 | 369% |
| Alhambra Hospital | $394 | 443% |
| Care 1St Health Plan | $394 | 443% |
| One Health Plan | $460 | 517% |
| Fmc Los Angeles Co Epo | $493 | 554% |
| Corvel Corporation | $526 | 592% |
| Americas Health Plan | $558 | 628% |
| Health Payors Organization | $591 | 665% |
| East La Reg Ctr | $657 | 739% |
| Non Contract Commercial | $657 | 739% |
| One Legacy | $657 | 739% |
| Private Pay | $657 | 739% |