CMS Price Transparency Data

X-ray, chest (two views)

Facility: Pawhuska Hospital, Inc

Billing Code: 71046 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 71046
Insurance Median: $166
Cash Discount Price: $113
vs. Medicare Baseline: 1.87x Medicare

The contracted insurance negotiated median rate for a X-ray, chest (two views) at Pawhuska Hospital, Inc is $166. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $113. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.87x the Medicare baseline. Located in 1101 East 15Th Street, Pawhuska, OK.

Cash / Self-Pay

$113

Average discount available for prompt cash payment at this facility.

Insurance Median

$166

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: $113 (127%)

Insurance Median: $166 (187%)

Cash: $113 (127% of Medicare)

Ins. Median: $166 (187% 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
Blue Cross Blue Shield	$102 - $166	115%
Aetna	$113 - $195	127%
Tricare	$113	127%
UnitedHealthcare	$113 - $140	127%
Wellcare Mcr Adv - All Plans	$113	127%
Humana	$114 - $195	128%
Healthcare Highways - All Plans	$127	143%
Cigna	$133	150%
Multiplan - All Plans	$146	164%
Ambetter / Centene	$170	191%
Preferred Commchoice Ip/Op Only - All Plans	$176	198%
Healthchoice Ip/Op Only - All Plans	$180	202%
Soonerselect Mcaid - All Plans	$195	219%
Community Care Comm - All Plans	$222	250%

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 $113.
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 Pawhuska Hospital, Inc 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.