CMS Price Transparency Data

X-ray, chest (two views)

Facility: Valley Children's Hospital

Billing Code: 71046 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 71046
  • Insurance Median: $334
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 3.76x Medicare
The contracted insurance negotiated median rate for a X-ray, chest (two views) at Valley Children's Hospital is $334. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 3.76x the Medicare baseline. Located in 9300 Valley Childrens Place, Madera, CA.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$334

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%)
Insurance Median: $334 (376%)
Ins. Median: $334 (376% 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 376% of the Medicare baseline (a markup of 276%). 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.

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
Allcare Ipa $27 30%
Dignity Ipa_Formerly Img $38 43%
La Salle Ipa $38 43%
Sante Ipa $38 43%
Kaiser $40 - $399 45%
Central Valley Medical Providers Ipa $41 - $307 46%
Sequoia Health Ipa $41 46%
Univseral Healthcare Ipa $41 46%
Community Care Ipa $43 48%
United Physicians Network Ipa $43 48%
Adventist $48 54%
Blue Cross Blue Shield $50 - $349 56%
Cencal Health $54 61%
Kern Family Health Care $55 62%
Central California Alliance For Health $56 63%
Health Net $216 - $402 243%
Dignity Health Central Coast $304 342%
UnitedHealthcare $331 372%
Community Health $338 380%
Stanislaus Partners In Health $338 380%
Physicians Choice Medical Group $344 387%
Health Plan Of San Joaquin $368 414%
Fowler Packing $381 429%
Dignity (Formerly Managed Care Systems) $387 435%
Kern Legacy $399 449%
Blue Shield $410 - $466 461%
Aetna $411 462%
First Health Formerly Coventry $454 511%
Bakersfield Family Medical Group $460 517%
Network By Design $476 535%
Community Care Health Plan $491 552%
Health Smart $491 552%
Key Medical Ipa $491 552%
Sutter Health $522 587%
Multiplan $587 660%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 9300 Valley Childrens Place, Madera, CA 93636
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Childrens