CMS Price Transparency Data
X-ray, pelvis
Facility: Greater El Monte Community Hospital
Billing Code: 72170 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 72170
- Insurance Median: $180
- Cash Discount Price: $435
- vs. Medicare Baseline: 1.69x Medicare
The contracted insurance negotiated median rate for a X-ray, pelvis at Greater El Monte Community Hospital is $180. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $435. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.69x the Medicare baseline. Located in 1701 Santa Anita Ave, South El Monte, CA.
Cash / Self-Pay
$435
Average discount available for prompt cash payment at this facility.
Insurance Median
$180
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: $435 (407%)
Insurance Median: $180 (169%)
Cash: $435 (407% of Medicare)
Ins. Median: $180 (169% 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 - $298 | 7% |
| In Custody-Ca Highway Patrol | $20 | 19% |
| Ahmc Healthcare Inc | $22 | 21% |
| Aids Health Foundation | $22 - $132 | 21% |
| Allied Physicians Medical Group | $22 - $140 | 21% |
| Altamed Health Network | $22 - $132 | 21% |
| Avanti | $22 - $161 | 21% |
| Beverly Hospital | $22 - $148 | 21% |
| Brand New Day | $22 - $168 | 21% |
| Emanate Health | $22 - $168 | 21% |
| Health Net Foundation | $22 - $308 | 21% |
| Healthy Way La | $22 | 21% |
| La Care Health Plan | $22 - $257 | 21% |
| Other Non Contracted Medi-Cal Hmo | $22 | 21% |
| State Of California | $22 | 21% |
| Allied Physicians | $31 - $132 | 29% |
| Associated Hispanic Physicians | $31 - $121 | 29% |
| Hollywood Presbyterian Adv Med Mcal | $31 | 29% |
| Hollywood Presbyterian Medpoint Mcal | $31 | 29% |
| Caloptima | $32 | 30% |
| Care 1St Medi Cal Hmo Cap Exceptional Care | $33 - $47 | 31% |
| Care First Health Plan | $33 - $47 | 31% |
| Clinica Medica Familiar | $40 - $234 | 37% |
| Central Health Plan | $56 - $327 | 52% |
| Bella Vista Medical Group Ipa | $66 - $210 | 62% |
| Employee Health Systems Medical Group | $66 - $93 | 62% |
| Global Care Medical Group Ipa | $66 - $210 | 62% |
| Alta Med Health Services Med Grp | $83 - $117 | 78% |
| Veterans Administration | $94 | 88% |
| Ahmc Reciprocity Agreement | $100 - $140 | 94% |
| Ahmc Reciprocity Agreement Senior/Commercial | $100 - $140 | 94% |
| Good Samaritan Medical Practice Assoc | $100 - $280 | 94% |
| Lincoln Hospital Medical Center | $100 - $140 | 94% |
| Molina Healthcare Of California | $129 - $182 | 121% |
| Apa/Aco Inc | $132 | 124% |
| Blue Shield Of California | $132 - $234 | 124% |
| Cms | $132 | 124% |
| Easy Choice Health Plan | $132 | 124% |
| Health Net Inc | $132 - $338 | 124% |
| Other Non Contracted Senior Hmo | $132 | 124% |
| Pacific Alliance Medical Center Reciprocal Contract | $132 | 124% |
| Scan Health Plan | $132 | 124% |
| UnitedHealthcare | $132 - $401 | 124% |
| Champus Foundation | $134 | 125% |
| Cv-19 Hrsa Uninsured Testing And Tx I/P And O/P | $134 | 125% |
| La Care Covered Direct | $134 | 125% |
| Pacificare Of California | $134 - $404 | 125% |
| Self-Pay | $134 | 125% |
| Alignment Health Plan | $139 | 130% |
| Molina Healthcare | $139 | 130% |
| Inter Valley Health Plan | $141 | 132% |
| San Miguel Health Plan | $148 | 139% |
| Chinatown Service Center Pace | $159 | 149% |
| Intercomp | $161 | 151% |
| California Thoroughbred Horesmans Foundation | $166 - $234 | 155% |
| Universal Care | $166 - $327 | 155% |
| Knox-Keene Act | $168 | 157% |
| Preferred Health Network | $170 | 159% |
| Interplan | $173 - $350 | 162% |
| Athens Administrators | $179 | 168% |
| Multiplan | $179 - $397 | 168% |
| Other Non Contracted Work Comp | $179 | 168% |
| Care 1St Health Plan | $199 - $280 | 186% |
| Cost Containment Strategies | $216 - $304 | 202% |
| In Custody Police Dept | $216 - $304 | 202% |
| Cigna | $241 | 226% |
| Community Care Network | $266 - $374 | 249% |
| Health Payors Organization | $299 - $420 | 280% |
| Commercial Non Contract | $332 - $467 | 311% |
| Medi-Cal Sub Acute | $332 - $467 | 311% |
| Nuclear Medicine/Whmc | $332 - $467 | 311% |
| One Legacy | $332 - $467 | 311% |