CMS Price Transparency Data

X-ray, chest (two views)

Facility: St John's Episcopal Hospital at South Shore

Billing Code: 71046 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 71046
Insurance Median: $109
Cash Discount Price: $278
vs. Medicare Baseline: 1.23x Medicare

The contracted insurance negotiated median rate for a X-ray, chest (two views) at St John's Episcopal Hospital at South Shore is $109. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $278. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.23x the Medicare baseline. Located in 327 Beach 19Th Street, Far Rockaway, NY.

Cash / Self-Pay

$278

Average discount available for prompt cash payment at this facility.

Insurance Median

$109

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: $278 (313%)

Insurance Median: $109 (123%)

Cash: $278 (313% of Medicare)

Ins. Median: $109 (123% 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
1199 National Benefit Fund	$24	27%
Healthfirst	$98 - $244	110%
Vns	$103 - $109	116%
Aetna	$109 - $152	123%
Blue Cross Blue Shield	$109 - $163	123%
Centerlight	$109	123%
Centers Plan For Healthy Living	$109	123%
Elderplan	$109	123%
Emblem Health	$109	123%
Fidelis	$109	123%
Hamaspik	$109	123%
Humana	$109	123%
Longevity	$109	123%
Lucida	$109	123%
Metroplus	$109	123%
UnitedHealthcare	$109 - $149	123%
Village Care Max	$109	123%
Wellcare	$109	123%
Magnacare	$119	134%
Molina	$119	134%

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 $278.
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 St John's Episcopal Hospital at South Shore 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.