CMS Price Transparency Data

X-ray, chest (two views)

Facility: Mary Hitchcock Memorial Hospital

Billing Code: 71046 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 71046
Insurance Median: $76
Cash Discount Price: $123
vs. Medicare Baseline: 0.85x Medicare

The contracted insurance negotiated median rate for a X-ray, chest (two views) at Mary Hitchcock Memorial Hospital is $76. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $123. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 0.85x the Medicare baseline. Located in 1 Medical Center Drive, Lebanon, NH.

Cash / Self-Pay

$123

Average discount available for prompt cash payment at this facility.

Insurance Median

$76

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: $123 (138%)

Insurance Median: $76 (85%)

Cash: $123 (138% of Medicare)

Ins. Median: $76 (85% 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
Amerihealth Caritas Nh	$7 - $70	8%
Beacon Health Strategies/Carelon	$7 - $75	8%
Granite State Health Plan	$7 - $77	8%
Aetna	$10 - $432	11%
Blue Cross Blue Shield	$10 - $536	11%
Cigna	$10 - $422	11%
Martin'S Point Generations Advantage	$10 - $99	11%
Martin'S Point Health Care	$10 - $212	11%
Mvp	$10 - $412	11%
UnitedHealthcare	$10 - $484	11%
Wellcare Health Plans	$10 - $102	11%
Wellsense Health Plan	$10 - $103	11%
Ambetter / Centene	$11 - $212	12%
Harvard Pilgrim Health Care Of Ne	$13 - $430	15%
Mass General Brigham Health Plan	$29 - $383	33%
Tufts Health Plan	$34 - $359	38%
Maine Community Health Options	$120 - $452	135%
Coventry	$164 - $535	184%
First Health/Hcvm	$164 - $535	184%
Phcs	$170 - $554	191%
Corvel	$174 - $566	196%
Ccmsi	$180 - $584	202%

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 $123.
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 Mary Hitchcock Memorial 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.