CMS Price Transparency Data

X-ray, chest (two views)

Facility: East Morgan County Hospital

Billing Code: 71046 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 71046
Insurance Median: $109
Cash Discount Price: $140
vs. Medicare Baseline: 1.23x Medicare

The contracted insurance negotiated median rate for a X-ray, chest (two views) at East Morgan County Hospital is $109. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $140. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.23x the Medicare baseline. Located in 2400 W Edison St, Brush, CO.

Cash / Self-Pay

$140

Average discount available for prompt cash payment at this facility.

Insurance Median

$109

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: $140 (157%)

Insurance Median: $109 (123%)

Cash: $140 (157% of Medicare)

Ins. Median: $109 (123% 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
Aetna	$10 - $430	11%
Banner Health	$10 - $199	11%
Blue Cross Blue Shield	$10 - $379	11%
Clear Spring Health	$10 - $199	11%
Healthspring Life & Health Insurance Company, Inc.	$10 - $199	11%
Humana	$10 - $211	11%
Longevity	$10 - $205	11%
Medica	$10 - $385	11%
Medicare (plans)	$10 - $199	11%
Pinnacol Assurance Workers Comp	$10 - $195	11%
Triwest Healthcare Alliance Corp - Va Ccn	$10 - $199	11%
UnitedHealthcare	$10 - $430	11%
Devoted Health Services	$11 - $219	12%
Assist Health Group	$12 - $238	13%
Denver Health Medical Plan	$18 - $370	20%
Apostrophe, Inc.	$21 - $416	24%
First Choice Health Network	$21 - $416	24%
Hue Health, Inc	$22 - $439	25%
Multiplan	$22 - $448	25%
Rocky Mountain Health Plans	$22 - $439	25%

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 $140.
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 East Morgan County 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.