CMS Price Transparency Data

X-ray, chest (two views)

Facility: Mount Sinai Rehabilitation Hospital Inc

Billing Code: 71046 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 71046
  • Insurance Median: $184
  • Cash Discount Price: $149
  • vs. Medicare Baseline: 2.07x Medicare
The contracted insurance negotiated median rate for a X-ray, chest (two views) at Mount Sinai Rehabilitation Hospital Inc is $184. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $149. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 2.07x the Medicare baseline. Located in 490 Blue Hills Ave, Hartford, CT.
Cash / Self-Pay
$149

Average discount available for prompt cash payment at this facility.

Insurance Median
$184

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: $149 (168%)
Insurance Median: $184 (207%)
Cash: $149 (168% of Medicare)
Ins. Median: $184 (207% 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 207% of the Medicare baseline (a markup of 107%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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
Aetna $27 - $100 30%
1199 National Benefit Fund $34 38%
Allied Benefit Systems $34 38%
Gravie Admin Services $34 38%
Hap $34 38%
Luminare Health $34 38%
Meritain $34 38%
Nippon Life Ins $34 38%
Webtpa $34 38%
Connecticut Dept Of Correction $83 93%
Blue Cross Blue Shield $100 - $270 112%
Medicare (plans) $100 - $104 112%
UnitedHealthcare $100 - $128 112%
Cca Senior Care Options $102 115%
Cigna $103 - $243 116%
Geha $128 144%
Harvard Pilgrim Healthcare $128 144%
Health New England $143 161%
Allied National Global Care $184 207%
Asrm - Reliance Standard Life Insurance $184 207%
Christian Care Ministry $184 207%
Dean Health $184 207%
Family Life Insurance Company $184 207%
Ghc Scw $184 207%
International Benefit Administrators $184 207%
Lifetime Benefit Solutions $184 207%
Manhattan Life $184 207%
Medi Share $184 207%
Multiplan $184 207%
Mvp $184 207%
Pai $184 207%
Pan-American Life $184 207%
Paramount Hmo $184 207%
Phcs $184 207%
Trinity Health Share $184 207%
Claimdoc $214 241%
Diversified Administrators $214 241%
Innovative Health Plan Ii $214 241%
Prime Health Services $216 243%
Connecticare $220 - $243 247%
Health Smart $230 259%
Allegiance $243 273%
Health Partners $243 273%
Magnacare $243 273%
Bcn Domestic $270 304%
Blue Benefit Administrators Of Massachusetts $270 304%
Blue Care Network $270 304%
Blue Distinction Transplant $270 304%
Blue Shield - Ca $270 304%
Blue Shield - Id (Regence) $270 304%
Blue Shield - Ny Highmark Northeastern $270 304%
Blue Shield - Ny Highmark Western $270 304%
Blue Shield - Pa (Highmark) $270 304%
Blue Shield - Wa (Regence) $270 304%
Health Choices $270 304%
Kaiser Domestic $270 304%
Pre-Employment $270 304%
Unicare $270 304%
Wc Domestic $270 304%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 490 Blue Hills Ave, Hartford, CT 06112
  • CMS Rating: No CMS Rating
  • Ownership Type: N/A
  • Hospital Type: PART A PROVIDER - HOSPITAL