CMS Price Transparency Data

X-ray, chest (two views)

Facility: HSHS St Elizabeth's Hospital

Billing Code: 71046 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 71046
Insurance Median: $171
Cash Discount Price: $439
vs. Medicare Baseline: 1.92x Medicare

The contracted insurance negotiated median rate for a X-ray, chest (two views) at HSHS St Elizabeth's Hospital is $171. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $439. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.92x the Medicare baseline. Located in One St Elizabeth Boulevard, O Fallon, IL.

Cash / Self-Pay

$439

Average discount available for prompt cash payment at this facility.

Insurance Median

$171

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: $439 (494%)

Insurance Median: $171 (192%)

Cash: $439 (494% of Medicare)

Ins. Median: $171 (192% 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
Illinois Breast And Cervical Cancer Program	$23	26%
Aetna	$37 - $429	42%
Blue Cross Blue Shield	$37 - $610	42%
Claim Doc	$37 - $246	42%
Clear Spring Health Of Illinois	$37 - $98	42%
Health Alliance Medical Plans	$37 - $518	42%
Health Partners	$37 - $98	42%
Hopetrust	$37 - $236	42%
Humana	$37 - $98	42%
Molina Healthcare	$37 - $103	42%
Naphcare	$37 - $213	42%
Sae Hospice	$37 - $98	42%
UnitedHealthcare	$37 - $610	42%
Meridian Health Plan	$54	61%
Amish Community	$171	192%
Celtic Insurance Company	$196	220%
Wellfirst	$393	442%
First Health	$454	511%
Cigna	$482 - $610	542%
Healthlink	$485 - $610	545%
Caterpillar, Inc.	$490	551%
Consociate Group	$537	604%
Choicecare	$549	617%
Healthcare Finest Network (Hfn)	$549	617%
Multiplan/Phcs	$549	617%
Provider Network Of America	$549	617%
City Of Springfield	$610	686%
Current Health Solutions	$610	686%
Healthscope	$610	686%
Interplan	$610	686%
Live360	$610	686%
Wexford	$610	686%

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 $439.
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 HSHS St Elizabeth'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.