CMS Price Transparency Data

X-ray, chest (two views)

Facility: Adventist Health Sonora

Billing Code: 71046 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 71046
  • Insurance Median: $120
  • Cash Discount Price: $58
  • vs. Medicare Baseline: 1.35x Medicare
The contracted insurance negotiated median rate for a X-ray, chest (two views) at Adventist Health Sonora is $120. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $58. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.35x the Medicare baseline. Located in 1000 Greenley Road, Sonora, CA.
Cash / Self-Pay
$58

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: $58 (65%)
Insurance Median: $120 (135%)
Cash: $58 (65% 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.

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 Mcare $10 - $120 11%
Central Ca Alliance Mcr Adv Profee Only $10 11%
Healthnet Mcr Adv $10 - $120 11%
Tricare $10 - $120 11%
UnitedHealthcare $10 - $506 11%
Ah Employee Health Plan - All Plans $11 - $216 12%
Cigna $13 - $560 15%
Greatwest Oa/Pos/Hmo $13 - $501 15%
Greatwest Ppo - All Other Plans $13 - $530 15%
Healthnet - All Other Plans $15 - $516 17%
Western Growers/Pinnacle - All Plans $15 - $312 17%
Blue Shield Epn $16 - $446 18%
Blue Shield - All Other Plans $17 - $448 19%
Bc Mcal $27 30%
Celtic Ca Hlth Well Mcal - All Plans $27 - $54 30%
Central Ca Alliance Mcal $27 - $45 30%
Healthnet Mcal $27 - $59 30%
Medi-Cal $27 - $39 30%
Aetna $34 - $209 38%
Beech Street- All Plans $37 - $501 42%
Trpn - Three Rivers Ppo - All Plans $37 - $471 42%
Central Ca Alliance Ccs Mcal $41 - $45 46%
Central Ca Alliance Chdp Mcal $41 - $55 46%
Central Ca Alliance Comm Profee Only-All Other Pla $41 46%
Phs Prime Health Srvcs-All Plans $120 135%
Bc Exchange $202 227%
Bc Non-Mcs - All Other Plans $224 252%
Bc Mcs $269 303%
Kaiser - All Plans $273 - $294 307%
Affordable Health - All Plans $491 - $530 552%
Interplan - All Plans $491 - $530 552%
Multiplan - All Plans $491 - $530 552%
Phcs Ppo - All Plans $491 - $530 552%
Stanilaus Foundation - All Plans $519 - $560 584%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1000 Greenley Road, Sonora, CA 95370
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals