CMS Price Transparency Data

X-ray, chest (two views)

Facility: Wentworth-Douglass Hospital

Billing Code: 71046 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 71046
Insurance Median: $282
Cash Discount Price: $349
vs. Medicare Baseline: 3.17x Medicare

The contracted insurance negotiated median rate for a X-ray, chest (two views) at Wentworth-Douglass Hospital is $282. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $349. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 3.17x the Medicare baseline. Located in 789 Central Ave, Dover, NH.

Cash / Self-Pay

$349

Average discount available for prompt cash payment at this facility.

Insurance Median

$282

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: $349 (393%)

Insurance Median: $282 (317%)

Cash: $349 (393% of Medicare)

Ins. Median: $282 (317% 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 317% of the Medicare baseline (a markup of 217%). 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
Generic Commercial [1009]	$68 - $84	76%
Wellsense Nh [1050]	$68 - $92	76%
PHCS Multiplan [1022]	$84 - $494	94%
Blue Cross Blue Shield	$90 - $588	101%
Champva [160001]	$92	103%
Harvard Pilgrim [120001]	$92 - $422	103%
Martin's Point [160007]	$92	103%
Medicare (plans)	$92	103%
Tricare	$92	103%
UnitedHealthcare	$92 - $450	103%
Humana	$95	107%
Mgb Health Plan [150001]	$309 - $447	348%
Aetna	$406	457%
Coventry First Health [1021]	$406	457%
Harvard Pilgrim Alternate [120002]	$422	475%
International Commercial [140001]	$450	506%
Wellpoint [1015]	$475	534%

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 $349.
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 Wentworth-Douglass 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.