CMS Price Transparency Data

X-ray, chest (two views)

Facility: Portneuf Medical Center

Billing Code: 71046 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 71046
  • Insurance Median: $417
  • Cash Discount Price: $295
  • vs. Medicare Baseline: 4.69x Medicare
The contracted insurance negotiated median rate for a X-ray, chest (two views) at Portneuf Medical Center is $417. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $295. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 4.69x the Medicare baseline. Located in 777 Hospital Way, Pocatello, ID.
Cash / Self-Pay
$295

Average discount available for prompt cash payment at this facility.

Insurance Median
$417

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: $295 (332%)
Insurance Median: $417 (469%)
Cash: $295 (332% of Medicare)
Ins. Median: $417 (469% 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 469% of the Medicare baseline (a markup of 369%). 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 $101 - $417 114%
Healthscope Benefits [2290] $101 114%
UnitedHealthcare $101 - $443 114%
Black Lung [6055] $202 227%
Employee Benefit Management Services [2445] $202 - $295 227%
Healthcare Highways [2210] $202 - $467 227%
Lucent Health [6000] $202 227%
Moda Health [6100] $202 227%
Oncology Patient Assistance Programs [2295] $202 227%
Pending Ssi [1616] $202 227%
Web Tpa [2115] $202 227%
Pacific Source Health Plans [2850] $283 318%
Liberty Health Share Lhs/Medcost Solutions Llc [2400] $295 332%
Medishare Christian Care [1645] $295 332%
Multiplan [1680] $330 - $467 371%
Cigna $362 407%
First Health [1375] $406 457%
Mailhandlers [1595] $417 469%
Selecthealth [3740] $417 - $443 469%
Geha [1415] $443 498%
Humana $443 498%
Administrative Concepts [1005] $467 525%
Healthfirst [2395] $467 525%
Healthnet [1495] $467 525%
Hometown Health [2155] $467 525%
Mayo Clinic Health Solutions [2280] $467 525%
Meritain Health [1655] $467 525%
Mutual Of Omaha [1685] $467 525%
National Association Of Letter Carriers [1695] $467 525%
New Era Life Insurance Company [1705] $467 525%
Pan American Life Insurance Co [1770] $467 525%
Pba [1775] $467 525%
Phcs [1780] $467 525%
Planned Administrators Inc [2360] $467 525%
Trustmark [2030] $467 525%
Ut Id Teamsters [3760] $467 525%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 777 Hospital Way, Pocatello, ID 83201
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals