CMS Price Transparency Data

X-ray, chest (two views)

Facility: Harlem Hospital Center

Billing Code: 71046 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 71046
Insurance Median: $71
Cash Discount Price: Unavailable
vs. Medicare Baseline: 0.80x Medicare

The contracted insurance negotiated median rate for a X-ray, chest (two views) at Harlem Hospital Center is $71. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 0.80x the Medicare baseline. Located in 506 Lenox Avenue, New York, NY.

Cash / Self-Pay

Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median

$71

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%)

Insurance Median: $71 (80%)

Ins. Median: $71 (80% 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
Aetna	$8 - $1,131	9%
Healthfirst	$9 - $161	10%
Amidacare	$11 - $71	12%
Emblem	$11 - $156	12%
Wellcare	$12 - $41	13%
Metroplus	$14 - $161	16%
Fidelis	$16 - $161	18%
Oscar	$17 - $156	19%
Cigna	$57 - $175	64%
Blue Cross Blue Shield	$63 - $187	71%
Carelon	$71 - $152	80%
Senior Whole Health	$71	80%
United	$71 - $187	80%
United Behavioral Health	$71 - $79	80%
Affinity	$73 - $161	82%
Carelon (Amida Care)	$73	82%
Vnsny	$73 - $199	82%
Oxford	$93 - $140	105%
Vaccn	$104	117%
Centers Plan For Healthy Living	$108	121%
Centerlight	$117	132%
Elderplan	$152 - $208	171%
Magnacare	$175	197%
Multiplan	$187	210%
Local 1199	$199	224%
Villagecare Max	$199	224%

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 $X.
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 Harlem Hospital Center 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.