CMS Price Transparency Data

X-ray, chest (two views)

Facility: Elkhart General Hospital

Billing Code: 71046 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 71046
Insurance Median: $217
Cash Discount Price: $196
vs. Medicare Baseline: 2.44x Medicare

The contracted insurance negotiated median rate for a X-ray, chest (two views) at Elkhart General Hospital is $217. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $196. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 2.44x the Medicare baseline. Located in 600 E Blvd, Elkhart, IN.

Cash / Self-Pay

$196

Average discount available for prompt cash payment at this facility.

Insurance Median

$217

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: $196 (220%)

Insurance Median: $217 (244%)

Cash: $196 (220% of Medicare)

Ins. Median: $217 (244% 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 244% of the Medicare baseline (a markup of 144%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
Mclaren (Mi	$49	55%
UnitedHealthcare	$49 - $242	55%
Devoted Healthcare	$60 - $97	67%
Blue Cross Blue Shield	$63 - $275	71%
Aetna	$92 - $204	103%
Humana	$92 - $242	103%
Pace	$92	103%
Plain Church	$138 - $242	155%
Caresource	$148 - $393	166%
Mhs	$166 - $393	187%
Cha	$181 - $236	204%
Immergrun	$181 - $242	204%
Php	$196 - $211	220%
Cigna	$217 - $230	244%
Multiplan	$217	244%
Signature	$220	247%
Encore	$223	251%
Mdwise	$242 - $393	272%
Heartland	$302	340%

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 $196.
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 Elkhart General 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.