CMS Price Transparency Data

X-ray, chest (two views)

Facility: UMass Memorial Healthalliance Hospitals

Billing Code: 71046 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 71046
Insurance Median: $111
Cash Discount Price: $428
vs. Medicare Baseline: 1.25x Medicare

The contracted insurance negotiated median rate for a X-ray, chest (two views) at UMass Memorial Healthalliance Hospitals is $111. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $428. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.25x the Medicare baseline. Located in 60 Hospital Road, Leominster, MA.

Cash / Self-Pay

$428

Average discount available for prompt cash payment at this facility.

Insurance Median

$111

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: $428 (481%)

Insurance Median: $111 (125%)

Cash: $428 (481% of Medicare)

Ins. Median: $111 (125% 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
Institution [10406]	$8 - $227	9%
Masshealth [20302]	$8	9%
Medicaid / KanCare	$8 - $223	9%
Champva [11001]	$94	106%
Medicare (plans)	$104 - $106	117%
Tufts Dual [10111]	$104 - $106	117%
Cigna	$106 - $3,290	119%
Correctional Care [11003]	$106	119%
Tufts Us Family [11203]	$106	119%
Blue Cross Blue Shield	$108 - $709	121%
Aetna	$110 - $280	124%
Commonwealth Care Mcr [10115]	$110 - $111	124%
Fallon Mcr Supp [20202]	$110 - $111	124%
Mgb Mcr [10124]	$110 - $111	124%
Tufts Mcr [10112]	$110 - $111	124%
Harvard Pilgrim Mcr [10106]	$111	125%
UnitedHealthcare	$111 - $428	125%
Senior Whole Health [10110]	$113	127%
Fallon Connectorcare [10503]	$122	137%
Harvard Pilgrim [10701]	$130 - $156	146%
Workers Compensation [20501]	$141	159%
Tufts Connectorcare [10507]	$177 - $180	199%
Tufts [11201]	$221 - $1,509	249%
Hne [11108]	$239	269%
Hsno/Free Care [10801]	$294	331%
Wellpoint [11112]	$315	354%
First Health Network [11120]	$321	361%
Multiplan [11109]	$321	361%
Connecticare [11105]	$428	481%
Fallon Carelon Hlth [28]	$428	481%
Fallon Mcaid Carelon Hlth [29]	$428	481%
Grants [20507]	$428	481%

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 $428.
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 UMass Memorial Healthalliance Hospitals 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.