CMS Price Transparency Data

X-ray, chest (two views)

Facility: Good Samaritan Hospital Medical Center

Billing Code: 71046 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 71046
  • Insurance Median: $104
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.17x Medicare
The contracted insurance negotiated median rate for a X-ray, chest (two views) at Good Samaritan Hospital Medical Center is $104. 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 1.17x the Medicare baseline. Located in 1000 Montauk Highway, West Islip, NY.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$104

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: $104 (117%)
Ins. Median: $104 (117% 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.

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
Affinity Health Plan $15 - $34 17%
Centerlight Healthcare $15 - $104 17%
Elderplan Inc. $15 - $104 17%
Emblem Health $15 - $234 17%
Fidelis Care New York $15 - $104 17%
Health First $15 - $234 17%
Health Plus $15 - $104 17%
Independent Health $15 - $104 17%
Medicaid / KanCare $15 17%
Mvp Health Plans $15 - $104 17%
Senior Whole Health $15 - $104 17%
UnitedHealthcare $15 - $182 17%
Aetna $42 - $104 47%
Mail Handlers Benefit Plan $50 56%
Meritain Health $50 56%
Nippon Life Insurance Company Of America $50 56%
Salvation Army $50 56%
Blue Cross Blue Shield $55 - $102 62%
Zadroga $61 69%
Self Pay $72 81%
Apwu $75 84%
Centivo $75 - $98 84%
Cigna $75 - $394 84%
Daniel H Cook $75 84%
Nalc $75 84%
Samba $75 84%
Local 1199 $96 108%
Centers Plan For Healthy Living $104 117%
Healthspring $104 117%
Liberty Health $104 117%
Longevity Health Plan $104 117%
Medicare (plans) $104 - $109 117%
Orthonet - Uniformed Services Family Health Plan $104 117%
Pmc $104 117%
Tricare $104 117%
Universal Healthcare $104 117%
Us Family Health Plan $104 117%
Veterans Affairs $104 117%
Humana $106 119%
Agewell New York $108 121%
Partners Health Plan $109 123%
Wellcare Health Plan Inc $115 129%
Surest $182 205%
American Plan Administrators $234 263%
Amerihealth Administrators $234 263%
Benefit Services $234 263%
Ghi Cbp Ny City Employee Alternate $234 263%
International Benefit Administrator $234 263%
Ultra Benefits Inc. $234 263%
Oscar Health $248 279%
Allied Wellfare Fund $394 443%
American Group Administrators $394 443%
Bakery & Confectionery Union $394 443%
Brighton $394 - $461 443%
Comprehensive Benefits Consultant $394 443%
Guardian Life Insurance Company Of America $394 443%
Maloney And Assoc $394 443%
Multiplan $394 443%
Performax $394 443%
Phcs $394 443%
Pomco $394 443%
Tpa Inc $394 443%
Unicare $394 443%
United Employees Health Plan $394 443%
Coventry $448 - $515 504%
Galaxy $545 613%
Three Rivers Provider Network $545 613%
Aither Health $606 682%
Alpha Care $606 682%
Dentaquest $606 682%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1000 Montauk Highway, West Islip, NY 11795
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals