CMS Price Transparency Data
X-ray, pelvis
Facility: Garfield Medical Center
Billing Code: 72170 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 72170
- Insurance Median: $168
- Cash Discount Price: $622
- vs. Medicare Baseline: 1.57x Medicare
The contracted insurance negotiated median rate for a X-ray, pelvis at Garfield Medical Center is $168. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $622. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.57x the Medicare baseline. Located in 525 N Garfield Ave, Monterey Park, CA.
Cash / Self-Pay
$622
Average discount available for prompt cash payment at this facility.
Insurance Median
$168
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: $622 (582%)
Insurance Median: $168 (157%)
Cash: $622 (582% of Medicare)
Ins. Median: $168 (157% 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
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 | $7 - $311 | 7% |
| Ucla Impact Dept Of Uncology | $8 | 7% |
| Advantage Care Ipa | $16 - $622 | 15% |
| Physicians Healthways Medical Corporation | $16 - $622 | 15% |
| Ahmc Healthcare Inc | $22 - $187 | 21% |
| Allied Physicians | $22 - $202 | 21% |
| Beverly Hospital | $22 - $148 | 21% |
| Brand New Day | $22 - $168 | 21% |
| Care 1St Mcl/Gar Cap Reciprocity | $22 | 21% |
| Community Health Plan | $22 | 21% |
| Emanate Health | $22 - $168 | 21% |
| Health Net | $22 - $522 | 21% |
| Healthy Way La | $22 | 21% |
| La Care Health Plan | $22 - $342 | 21% |
| Other Non-Contracting Medi-Cal | $22 | 21% |
| Physicians Healthways Medi-Cal | $22 - $622 | 21% |
| Aetna | $27 - $453 | 25% |
| Aids Health Foundation | $31 - $132 | 29% |
| Avanti | $31 - $161 | 29% |
| Hollywood Presbyterian Advanced Med Mgmt Mcal | $31 | 29% |
| Hollywood Presbyterian Medpoint Mcal | $31 | 29% |
| State Of California Medi-Cal | $31 | 29% |
| Physician Healthways Medical Corporation | $36 | 34% |
| Caloptima Direct | $46 | 43% |
| Pacific Independent Physician Association | $50 - $100 | 47% |
| Access Ipa Ancillary | $62 - $187 | 58% |
| Associated Hispanic Phys Of So Cal | $62 - $124 | 58% |
| Care First Health Plan | $62 | 58% |
| UnitedHealthcare | $62 - $445 | 58% |
| Veterans Administration | $94 | 88% |
| Employee Health Systems Mg | $124 | 116% |
| Apa Aco Inc | $132 | 124% |
| Blue Shield | $132 - $219 | 124% |
| Central Health Plan | $132 - $249 | 124% |
| Cms | $132 | 124% |
| Easy Choice Health Plan | $132 | 124% |
| Humana | $132 | 124% |
| Non-Contract Medi-Care | $132 | 124% |
| Pacific Alliance Medical Center Comm/Sr | $132 | 124% |
| Blue Shield Of California | $134 - $311 | 125% |
| Cv-19 Hrsa Uninsured Testing And Tx | $134 | 125% |
| First Health Network | $134 - $435 | 125% |
| La Care Covered Direct | $134 | 125% |
| Scan Health Plan Sr Hmo | $134 | 125% |
| Self-Pay | $134 | 125% |
| Alignment Health Plan | $139 | 130% |
| Molina Healthcare | $139 | 130% |
| Molina Healthcare Of California | $139 - $168 | 130% |
| Inter Valley Health Plan | $141 | 132% |
| National Disaster Medical System | $148 | 139% |
| San Miguel Health Plan | $148 | 139% |
| Chinatown Service Center Pace | $161 | 151% |
| Ahmc Health Epo | $168 | 157% |
| Knox-Keene Act | $168 | 157% |
| Preferred Health Network | $170 | 159% |
| Interplan | $173 - $466 | 162% |
| Pacificare Of California Inc | $178 | 167% |
| Pacificare Ppo | $178 | 167% |
| Athens Administrators | $179 | 168% |
| Multiplan | $179 - $529 | 168% |
| Other Non-Contracted Workers Compensation | $179 | 168% |
| Family Health Alliance | $187 | 175% |
| Health Net Comm/Hmo | $214 - $342 | 200% |
| Allied Physicians Risk Pool | $218 | 204% |
| Allied Physicians Risk Pool Agreement | $218 | 204% |
| Health Net Inc | $218 | 204% |
| Healthnet Medi Cal Cap | $218 | 204% |
| Pipa Risk Pool Agreement | $218 | 204% |
| Cigna | $241 | 226% |
| Molina Medical Group | $243 | 228% |
| Health Net Foundation Comm/Sr (Family Health Alliance) | $249 | 233% |
| Health Net Foundation M Cal (Family Health Alliance) | $249 | 233% |
| Phys Assoc Of San Gab Valley | $249 | 233% |
| Allied Physicians Med Grp | $311 | 291% |
| Alhambra Hospital | $373 | 349% |
| Care 1St Health Plan | $373 | 349% |
| One Health Plan | $435 | 407% |
| Fmc Los Angeles Co Epo | $466 | 436% |
| Corvel Corporation | $498 | 466% |
| Americas Health Plan | $529 | 495% |
| Health Payors Organization | $560 | 524% |
| East La Reg Ctr | $622 | 582% |
| Non Contract Commercial | $622 | 582% |
| One Legacy | $622 | 582% |
| Private Pay | $622 | 582% |