CMS Price Transparency Data

X-ray, chest (two views)

Facility: Elizabethtown Community Hospital

Billing Code: 71046 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 71046
Insurance Median: $42
Cash Discount Price: $31
vs. Medicare Baseline: 0.47x Medicare

The contracted insurance negotiated median rate for a X-ray, chest (two views) at Elizabethtown Community Hospital is $42. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $31. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 0.47x the Medicare baseline. Located in 75 Park Street, Elizabethtown, NY.

Cash / Self-Pay

$31

Average discount available for prompt cash payment at this facility.

Insurance Median

$42

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: $31 (35%)

Insurance Median: $42 (47%)

Cash: $31 (35% of Medicare)

Ins. Median: $42 (47% 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
Capital District Physicians' Health Plan	$21 - $540	24%
UnitedHealthcare	$22 - $605	25%
Harvard Pilgrim	$25 - $526	28%
Magnacare	$25 - $526	28%
Blue Cross Blue Shield	$26 - $494	29%
Coventry	$26 - $558	29%
Fidelis Care	$26 - $250	29%
Mvp	$27 - $513	30%
Multiplan	$28 - $591	31%
Humana	$30 - $84	34%
Aetna	$31 - $493	35%
Martins Point	$31 - $250	35%
Veterans Affairs Community Care Network	$31 - $250	35%
Choicecare	$34 - $526	38%
Highmark Blueshield	$36 - $535	40%
Wellpath	$44 - $374	49%
Emblem Health	$526	592%

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 $31.
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 Elizabethtown Community Hospital 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.