CMS Price Transparency Data

X-ray, chest (two views)

Facility: PAM Health Specialty Hospital of Reno

Billing Code: 71046 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 71046
  • Insurance Median: $505
  • Cash Discount Price: $648
  • vs. Medicare Baseline: 5.68x Medicare
The contracted insurance negotiated median rate for a X-ray, chest (two views) at PAM Health Specialty Hospital of Reno is $505. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $648. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 5.68x the Medicare baseline. Located in 235 W 6Th St, Reno, NV.
Cash / Self-Pay
$648

Average discount available for prompt cash payment at this facility.

Insurance Median
$505

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: $648 (729%)
Insurance Median: $505 (568%)
Cash: $648 (729% of Medicare)
Ins. Median: $505 (568% 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 568% of the Medicare baseline (a markup of 468%). 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
America'S Choice $454 511%
Provider Network Of Amercia $486 547%
Quik Trip $486 547%
Usa Managed Care Organization $486 547%
Velocity Provider Ppo Network $486 547%
Healthsmart $505 568%
Evolutions Healthcare System $518 583%
Multiplan $518 583%
Beech Street $551 620%
Galaxy Health Network $551 620%
Prime Health Services $551 620%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 235 W 6Th St, Reno, NV 89503
  • CMS Rating: No CMS Rating
  • Ownership Type: N/A
  • Hospital Type: PART A PROVIDER - HOSPITAL