CMS Price Transparency Data

X-ray, chest (two views)

Facility: Berkshire Medical Center

Billing Code: 71046 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 71046
Insurance Median: $185
Cash Discount Price: $308
vs. Medicare Baseline: 2.08x Medicare

The contracted insurance negotiated median rate for a X-ray, chest (two views) at Berkshire Medical Center is $185. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $308. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 2.08x the Medicare baseline. Located in 725 North Street, Pittsfield, MA.

Cash / Self-Pay

$308

Average discount available for prompt cash payment at this facility.

Insurance Median

$185

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: $308 (346%)

Insurance Median: $185 (208%)

Cash: $308 (346% of Medicare)

Ins. Median: $185 (208% 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 208% of the Medicare baseline (a markup of 108%). 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
Cdphp	$26 - $291	29%
Health New England	$26 - $226	29%
Mcd Out Of State	$26 - $71	29%
Medicaid / KanCare	$26 - $71	29%
Comm Tufts Qhpsub (Network)	$29 - $183	33%
Point32Health	$29 - $308	33%
Bmchnp	$30 - $92	34%
Hospice	$34 - $112	38%
Medicare (plans)	$34 - $110	38%
Other Government	$34 - $112	38%
UnitedHealthcare	$34 - $279	38%
Blue Cross Blue Shield	$36 - $275	40%
Commcare Alliance	$36 - $132	40%
Fallon	$36 - $142	40%
Aetna	$41 - $245	46%
Comm Hne Hmo	$64 - $213	72%
Unicare	$67 - $210	75%
Comm Hne Ppo	$68 - $227	76%
Mbhp	$71	80%
Workers Comp	$160 - $196	180%
Allways Nhp	$170 - $210	191%
Beacon	$224 - $291	252%
Cigna	$237 - $301	267%
Mvp	$237 - $291	267%
Oxford	$237 - $291	267%
First Health	$245 - $308	276%
Connecticare	$250 - $308	281%
Consolidated Health Plans	$250 - $308	281%
Other Commercial	$250 - $308	281%
Phcs	$250 - $308	281%
Self Pay	$250 - $308	281%

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 $308.
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 Berkshire Medical Center 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.