CMS Price Transparency Data

X-ray, chest (single view)

Facility: Casa Colina Hospital

Billing Code: 71045 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 71045
  • Insurance Median: $112
  • Cash Discount Price: $146
  • vs. Medicare Baseline: 1.26x Medicare
The contracted insurance negotiated median rate for a X-ray, chest (single view) at Casa Colina Hospital is $112. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $146. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.26x the Medicare baseline. Located in 255 E Bonita Ave, Pomona, CA.
Cash / Self-Pay
$146

Average discount available for prompt cash payment at this facility.

Insurance Median
$112

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: $146 (164%)
Insurance Median: $112 (126%)
Cash: $146 (164% of Medicare)
Ins. Median: $112 (126% 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
Medi-Cal $25 28%
Kaiser Mcal $28 31%
Iehp Mcal $63 71%
Heritage Prvdr Ntwrk Mcal $90 101%
Prospect Hp Mcal $101 114%
Heritage Prvdr Ntwrk Comm - All Other Plans $104 117%
Heritage Prvdr Ntwrk Mcr $104 117%
Promed Hlth Ntwrk Op Only - All Plans $106 119%
Healthnet Comm - All Other Plans $107 120%
Aetna $112 - $134 126%
Blue Cross Blue Shield $112 - $153 126%
Blue Shield Mcr Adv $112 126%
Caremore Mcr Adv - All Plans $112 126%
Central Hlth Plan - All Plans $112 126%
Doctors Managed Op Only - All Plans $112 126%
Empire Healthcare Op Only - All Plans $112 126%
Epic Comm - All Other Plans $112 126%
Epic Mcr Adv $112 126%
Focus Healthcare Wc - All Plans $112 126%
Healthnet Mcr Adv $112 126%
Humana $112 - $130 126%
Iehp - All Other Plans $112 126%
Iehp Mcr Adv $112 126%
Kaiser Comm - All Other Plans $112 126%
Kaiser Mcr Adv $112 126%
Premiercare Op Only - All Plans $112 126%
Prospect Hp Mcr Adv $112 126%
Triwest - All Plans $112 126%
UnitedHealthcare $112 - $130 126%
Wellcare Mcr Adv - All Plans $112 126%
Prospect Hp Comm - All Other Plans $123 138%
Corvel - All Plans $130 146%
Coventry - All Plans $130 146%
Multiplan - All Plans $130 146%
Three Rivers - All Plans $130 146%
Affiliated Hlth Funds - All Plans $140 157%
Brand New Day Mcr Adv - All Plans $156 175%
Galaxy Provdr Ntwrk - All Plans $182 205%
Blue Shield Comm - All Other Plans $193 217%
Healthcare Partners - All Other Plans $209 235%
Healthcare Partners Mcr $209 235%
Primecare Comm - All Other Plans $209 235%
Primecare Mcr Adv $209 235%
Cigna $214 241%
Prospect Med Grp Alta - All Plans $222 250%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 255 E Bonita Ave, Pomona, CA 91767
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals