CMS Price Transparency Data

X-ray, chest (two views)

Facility: Adventist Health St Helena

Billing Code: 71046 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 71046
Insurance Median: $300
Cash Discount Price: $103
vs. Medicare Baseline: 3.37x Medicare

The contracted insurance negotiated median rate for a X-ray, chest (two views) at Adventist Health St Helena is $300. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $103. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 3.37x the Medicare baseline. Located in 10 Woodland Road, Saint Helena, CA.

Cash / Self-Pay

$103

Average discount available for prompt cash payment at this facility.

Insurance Median

$300

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: $103 (116%)

Insurance Median: $300 (337%)

Cash: $103 (116% of Medicare)

Ins. Median: $300 (337% 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 337% of the Medicare baseline (a markup of 237%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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 Shield Bh Mcr Adv	$11 - $116	12%
Blue Shield Mcr Adv	$11 - $116	12%
Kaiser Mcr Adv	$11 - $116	12%
Tricare	$11 - $116	12%
Ah Employee Health Plan - All Plans	$12 - $208	13%
Cigna	$13 - $1,007	15%
Interplan-All Plans	$13 - $818	15%
Kaiser-All Other Plans	$13 - $1,032	15%
Western Growers-All Plans	$16 - $667	18%
Blue Shield Epn-All Other Plans	$17 - $593	19%
Blue Shield Non-Epn	$18 - $584	20%
Phcs-All Plans	$25 - $692	28%
Medi-Cal	$27	30%
Aetna	$31 - $129	35%
Health Management Network-All Plans	$39 - $1,070	44%
Va Medi-Cal	$39	44%
Three Rivers-All Plans	$41 - $1,133	46%
UnitedHealthcare	$42 - $803	47%
Healthnet-All Plans	$88	99%
Va Mcr - All Other Plans	$116	130%
Blue Cross Blue Shield	$199 - $266	224%
Blue Shield Behav Hlth	$212 - $567	238%
Choicecare-All Plans	$330 - $881	371%
Beech Street-All Plans	$353 - $944	397%
Galaxy Network-All Plans	$424 - $1,133	477%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $103.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 71046.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Adventist Health St Helena is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 71046.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.