CMS Price Transparency Data

X-ray, chest (two views)

Facility: Adventist Health Ukiah Valley

Billing Code: 71046 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 71046
Insurance Median: $120
Cash Discount Price: $28
vs. Medicare Baseline: 1.35x Medicare

The contracted insurance negotiated median rate for a X-ray, chest (two views) at Adventist Health Ukiah Valley is $120. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $28. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.35x the Medicare baseline. Located in 275 Hospital Drive, Ukiah, CA.

Cash / Self-Pay

$28

Average discount available for prompt cash payment at this facility.

Insurance Median

$120

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: $28 (31%)

Insurance Median: $120 (135%)

Cash: $28 (31% of Medicare)

Ins. Median: $120 (135% 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.

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 Mcr Adv	$10 - $120	11%
Kaiser Mcr Adv	$10 - $120	11%
Tricare	$10 - $120	11%
Ah Employee Health Plan - All Plans	$11 - $216	12%
Cigna	$13 - $624	15%
UnitedHealthcare	$14 - $669	16%
Healthnet-All Plans	$15 - $458	17%
Western Growers-All Plans	$15 - $336	17%
Blue Shield Epn-All Other Plans	$16 - $305	18%
Blue Shield Non-Epn	$17 - $309	19%
Aetna	$18 - $135	20%
Kaiser Medi-Cal	$27 - $39	30%
Medi-Cal	$27 - $39	30%
Mendocino Lcc District-All Plans	$27 - $520	30%
Kaiser-All Other Plans	$33 - $640	37%
Three Rivers-All Plans	$37 - $720	42%
Blue Cross Blue Shield	$224 - $299	252%
Foundation For Medical Care-All Plans	$600	675%
Networks By Design-All Plans	$640	720%
Phcs Multiplan-All Plans	$640	720%
Interplan-All Plans	$656	738%
Beech Street-All Plans	$680	765%
Choice Care-All Plans	$680	765%
Health Mgmt Network-All Plans	$680	765%

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 $28.
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 Ukiah Valley 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.