CMS Price Transparency Data

X-ray, chest (two views)

Facility: North Adams Regional Hospital Corporation

Billing Code: 71046 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 71046
  • Insurance Median: $170
  • Cash Discount Price: $308
  • vs. Medicare Baseline: 1.91x Medicare
The contracted insurance negotiated median rate for a X-ray, chest (two views) at North Adams Regional Hospital Corporation is $170. 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 1.91x the Medicare baseline. Located in 71 Hospital Avenue, North Adams, MA.
Cash / Self-Pay
$308

Average discount available for prompt cash payment at this facility.

Insurance Median
$170

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: $170 (191%)
Cash: $308 (346% of Medicare)
Ins. Median: $170 (191% 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.

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
Mcd Masshealth $26 - $143 29%
Mcd New York $26 - $71 29%
Mcd Out Of State $26 - $143 29%
Mcdmanaged Cdphp $26 - $143 29%
Mcdmanaged Hne Mcdaco $26 - $143 29%
Medicaid / KanCare $26 - $143 29%
Comm Network Qhpsub $29 - $183 33%
Mcdmanaged Network $29 - $183 33%
Mcdmanaged Bmchnp $30 - $149 34%
Comm Hospice $34 - $74 38%
Mcr Miscellaneous $34 - $74 38%
Mcrmanaged Usa Family $34 - $74 38%
Mcrmanaged Va $34 - $74 38%
Medicare (plans) $34 - $75 38%
Oth United Vaccn $34 - $74 38%
Tricare $34 - $122 38%
Blue Cross Blue Shield $39 - $275 44%
Mcrmanaged Cca One Care $39 - $74 44%
Aetna $41 - $245 46%
Comm Fallon Qhp $51 - $183 57%
Comm Hne Hmo $64 - $213 72%
Comm Unicare $67 - $210 75%
Comm Hne $68 - $226 76%
Comm Hne Ppo $68 - $227 76%
Wc Workers Comp $160 - $196 180%
Comm Network Qhpnonsub $168 - $233 189%
Comm Nhp $170 - $210 191%
Comm Tufts $208 - $257 234%
UnitedHealthcare $226 - $279 254%
Cigna $237 - $301 267%
Comm Cdphp $237 - $291 267%
Comm Mvp $237 - $291 267%
Comm Oxford $237 - $291 267%
Comm First Health $245 - $308 276%
Comm Connecticare $250 - $308 281%
Comm Consolidated Health $250 - $308 281%
Comm Harvard $250 - $308 281%
Comm Other $250 - $308 281%
Comm Phcs $250 - $308 281%
Comm Self Pay $250 - $308 281%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 71 Hospital Avenue, North Adams, MA 01247
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Federal
  • Hospital Type: Critical Access Hospitals