CMS Price Transparency Data

X-ray, chest (two views)

Facility: UCSF Health St. Mary's Hospital

Billing Code: 71046 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 71046
Insurance Median: $129
Cash Discount Price: $1,018
vs. Medicare Baseline: 1.45x Medicare

The contracted insurance negotiated median rate for a X-ray, chest (two views) at UCSF Health St. Mary's Hospital is $129. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,018. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.45x the Medicare baseline. Located in 450 Stanyan St, San Francisco, CA.

Cash / Self-Pay

$1,018

Average discount available for prompt cash payment at this facility.

Insurance Median

$129

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: $1,018 (1145%)

Insurance Median: $129 (145%)

Cash: $1,018 (1145% of Medicare)

Ins. Median: $129 (145% 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
California Health & Wellness	$27	30%
Health Plan San Mateo	$27 - $129	30%
Kaiser	$27 - $774	30%
Partnership Health Plan	$27	30%
Sfhp	$38	43%
Health Net	$40 - $129	45%
Brown Toland	$43 - $129	48%
Blue Cross Blue Shield	$49 - $616	55%
Aetna	$129 - $142	145%
Blue Shield Ca	$129	145%
Chinese Community	$129 - $662	145%
Connected Care	$129	145%
Humana	$129	145%
Mhn	$129	145%
United	$129 - $182	145%
Kentfield	$375	422%
Oscar	$424	477%
Magellan	$611	687%
Cigna	$641 - $682	721%
Healthsmart	$713	802%
Multiplan	$845	950%
Us Behavioral Health	$1,018	1145%

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 $1,018.
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 UCSF Health St. Mary's Hospital 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.