CMS Price Transparency Data

X-ray, chest (two views)

Facility: University Medical Center of Princeton at Plainsboro

Billing Code: 71046 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 71046
  • Insurance Median: $654
  • Cash Discount Price: $943
  • vs. Medicare Baseline: 7.36x Medicare
The contracted insurance negotiated median rate for a X-ray, chest (two views) at University Medical Center of Princeton at Plainsboro is $654. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $943. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 7.36x the Medicare baseline. Located in One-Five Plainsboro Road, Plainsboro, NJ.
Cash / Self-Pay
$943

Average discount available for prompt cash payment at this facility.

Insurance Median
$654

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: $943 (1061%)
Insurance Median: $654 (736%)
Cash: $943 (1061% of Medicare)
Ins. Median: $654 (736% 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 736% of the Medicare baseline (a markup of 636%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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
Horizon Nj Health $30 34%
Blue Cross Blue Shield $44 - $803 49%
Cigna $65 - $1,068 73%
Aetna $75 - $890 84%
Medicaid / KanCare $75 - $1,068 84%
Charity Care $77 - $100 87%
Wellcare $83 - $108 93%
Tricare $98 110%
Medicare (plans) $99 - $109 111%
UnitedHealthcare $99 - $694 111%
Va Medical Center $99 111%
Clover Health Plan $105 118%
Humana $107 120%
Us Family Health Plan $113 127%
Elap $141 - $179 159%
Centivo $179 201%
Claim Watcher $179 201%
Preferred Health Care Eliance $213 - $278 240%
Horizon Behavioral Health $307 - $400 345%
Beacon Health Options $409 - $534 460%
Amerihealth $484 - $632 544%
Magnacare $491 - $748 552%
Princeton Theological Seminary $532 - $694 598%
Coventry $573 - $748 644%
Health Net $573 - $748 644%
Beech Street $654 - $908 736%
Intergrated Health Plan $654 - $854 736%
Intergroup $654 - $854 736%
Penn Global Medicine Embassy Only $654 - $854 736%
Allied Trades $695 - $908 782%
Consumer Health Network $695 - $908 782%
Devon Health Services $695 - $908 782%
First Managed Care Option $695 - $908 782%
Ie Shaffer $695 - $908 782%
Private Healthcare Systems $695 - $908 782%
Qualcare $695 - $908 782%
Total Care Network $695 - $908 782%
Tri-State $695 - $908 782%
Commercial Other $818 - $1,068 920%
Compsych $818 - $1,068 920%
Concern Plus $818 - $1,068 920%
International Pfs $818 - $1,068 920%
Life St. Francis $818 - $1,068 920%
Magellan $818 - $1,068 920%
Managed Health Network $818 - $1,068 920%
Nj Carpenters $818 - $1,068 920%
Penn Behavioral Health Corporate Services $818 - $1,068 920%
Personnel Health Program $818 - $1,068 920%
United Behavioral Health $818 - $1,068 920%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: One-Five Plainsboro Road, Plainsboro, NJ 08536
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals