CMS Price Transparency Data

X-ray, chest (two views)

Facility: UW Health

Billing Code: 71046 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 71046
Insurance Median: $36
Cash Discount Price: $28
vs. Medicare Baseline: 0.40x Medicare

The contracted insurance negotiated median rate for a X-ray, chest (two views) at UW Health is $36. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $28. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 0.40x the Medicare baseline. Located in 1401 East State Street, Rockford, IL.

Cash / Self-Pay

$28

Average discount available for prompt cash payment at this facility.

Insurance Median

$36

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: $28 (31%)

Insurance Median: $36 (40%)

Cash: $28 (31% of Medicare)

Ins. Median: $36 (40% 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	$15 - $432	17%
Blue Cross Blue Shield	$15 - $296	17%
Medicaid / KanCare	$15 - $87	17%
Humana	$21 - $89	24%
Medicare (plans)	$21 - $98	24%
Mychoice Wi Medical Adv	$21 - $89	24%
UnitedHealthcare	$21 - $460	24%
Quartz Aso	$33 - $327	37%
Quartz Fully Insured	$33 - $208	37%
Cigna	$35 - $478	39%
Alliance Premier Network	$46 - $327	52%
The Alliance	$50 - $420	56%
Wps	$52 - $87	58%
Beloit Healt System	$61 - $540	69%
Mercy Care	$73 - $122	82%
Ecoh	$104 - $471	117%
Hfn	$104 - $471	117%
Workers Comp	$104 - $123	117%
Wps Ppo	$463	521%
Mercycare	$559	629%
First Health/Coventry	$588	661%
Health Payment Systems	$698	785%
Healthsmart	$698	785%
Sheboygan Employers Health Network	$745	838%
Multiplan	$832	936%

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 $28.
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 UW Health 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.