CMS Price Transparency Data
X-ray, chest (two views)
Facility: Saint Alphonsus Medical Center Ontario
Billing Code: 71046 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 71046
- Insurance Median: $89
- Cash Discount Price: $192
- vs. Medicare Baseline: 1.00x Medicare
The contracted insurance negotiated median rate for a X-ray, chest (two views) at Saint Alphonsus Medical Center Ontario is $89. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $192. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.00x the Medicare baseline. Located in 351 Sw 9Th Street, Ontario, OR.
Cash / Self-Pay
$192
Average discount available for prompt cash payment at this facility.
Insurance Median
$89
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: $192 (216%)
Insurance Median: $89 (100%)
Cash: $192 (216% of Medicare)
Ins. Median: $89 (100% 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 |
|---|---|---|
| Medicaid / KanCare | $6 - $89 | 7% |
| Oregon Screenwise | $8 - $89 | 9% |
| UnitedHealthcare | $10 - $284 | 11% |
| Ada County Jail Inmate Ins | $89 | 100% |
| Aetna | $89 - $280 | 100% |
| Ambetter / Centene | $89 | 100% |
| Amish Mennonite | $89 | 100% |
| Bcccp-Michigan | $89 | 100% |
| Bccp | $89 | 100% |
| Blue Cross Blue Shield | $89 - $258 | 100% |
| Bmc Healthnet | $89 | 100% |
| Breast Grant-Connecticut | $89 | 100% |
| California Health And Wellness | $89 | 100% |
| Cardinal Innovations Lme | $89 | 100% |
| Care Oregon Ohp | $89 | 100% |
| Cencal Health Plan | $89 | 100% |
| Cenpatico | $89 | 100% |
| Centurion Of Idaho | $89 | 100% |
| Chhuny | $89 | 100% |
| Childrens Comm Health Plan | $89 | 100% |
| Childrens Medical Services Title 19 | $89 | 100% |
| Cigna | $89 - $278 | 100% |
| Community Benefit Health | $89 | 100% |
| Community Care Behavorial Health | $89 | 100% |
| Community Health Choice | $89 | 100% |
| Covid19 Hrsa Uninsured Testing And Treatment Fund | $89 | 100% |
| Dean Wi Badgercare | $89 | 100% |
| Delaware First Health | $89 | 100% |
| Delta Dental Nj | $89 | 100% |
| Dph Tb Program | $89 | 100% |
| Dscc | $89 | 100% |
| Eastpointe Lme | $89 | 100% |
| Family Health Network | $89 | 100% |
| Freedom First Healthcare | $89 | 100% |
| Ghc Scw Wi Badgercare | $89 | 100% |
| Harbor Health | $89 | 100% |
| Health Safety Net | $89 | 100% |
| Healthy Blue Ne | $89 | 100% |
| Hennepin Health | $89 | 100% |
| Humana | $89 - $260 | 100% |
| Id County Ada | $89 | 100% |
| Id County Canyon | $89 | 100% |
| Id County Cat Fund | $89 | 100% |
| Id County Payette | $89 | 100% |
| Idaho Womens Health Check | $89 | 100% |
| Indiana Breast Cervical Cancer | $89 | 100% |
| Inland Empire Health Plan | $89 | 100% |
| Intercommunity Health Ohp | $89 | 100% |
| Iowa Total Care | $89 | 100% |
| Jai Medical System | $89 | 100% |
| Kern Family Health Plan | $89 | 100% |
| Keystone First | $89 | 100% |
| Keystone First Chip | $89 | 100% |
| La Care Health Plan | $89 | 100% |
| Lakeland Care Inc | $89 | 100% |
| Managed Health Services - Indiana | $89 | 100% |
| Maryland Breast & Cervical Program | $89 | 100% |
| Maryland Healthy Smiles - Scion Dental | $89 | 100% |
| Maryland Physicians Care | $89 | 100% |
| Massachusetts Behavioral Health Partnership | $89 | 100% |
| Mdwise | $89 | 100% |
| Medi-Cal | $89 | 100% |
| Medi-Cal Healthnet | $89 | 100% |
| Medstar Dc Healthy Family | $89 | 100% |
| Medstar Md Health Choice | $89 | 100% |
| Mo Home State Health Plan | $89 | 100% |
| Molina Centennial Care | $89 | 100% |
| Nascentia Health Options | $89 | 100% |
| Nebraska Total Care | $89 | 100% |
| New York Cancer Services Program | $89 | 100% |
| Nextlevel Health | $89 | 100% |
| Pace Of Southwest Michigan | $89 | 100% |
| Paramount Advantage | $89 | 100% |
| Parkland Community Health Plan | $89 | 100% |
| Partners Behavioral Lme | $89 | 100% |
| Peach State Healthplan | $89 | 100% |
| Presbyterian Centennial Care | $89 | 100% |
| Prestige Health Choice | $89 | 100% |
| Priority Partners | $89 | 100% |
| Rx 340B Pass Along | $89 | 100% |
| Rx Assistance/Rx Manufacturer Assistance 0 Copay | $89 | 100% |
| Rx Medi-Cal | $89 | 100% |
| Rx Meridian Rx | $89 | 100% |
| Sandhills Center Lme | $89 | 100% |
| Screening For Life | $89 | 100% |
| Selecthealth | $89 - $266 | 100% |
| Sunshine State Health Plan | $89 | 100% |
| Superior Health | $89 | 100% |
| Tenncare | $89 | 100% |
| Texas Children'S Health Plan | $89 | 100% |
| Trillium Community Ohp | $89 | 100% |
| Tufts Health Public Plans | $89 | 100% |
| Vaya Health Lme | $89 | 100% |
| Wellsense Health Plan | $89 | 100% |
| Wi Womens Wellness | $89 | 100% |
| Medicare (plans) | $102 - $109 | 115% |
| American Health Advantage Of Idaho | $106 | 119% |
| Mountain Health Co-Op | $178 | 200% |
| Pacificsource Health Plans | $178 - $278 | 200% |
| Moda Health | $201 - $287 | 226% |
| Allegiance | $225 | 253% |
| Healthcare Management Admin | $228 | 256% |
| Correctional Health Partners | $231 | 260% |
| Columbia Health Network | $237 | 267% |
| Healthnet | $249 | 280% |
| Blue Benefit Administrators Of Massachusetts | $258 | 290% |
| Blue Care Network | $258 | 290% |
| Blue Distinction Transplant | $258 | 290% |
| Blue Shield - Ca | $258 | 290% |
| Blue Shield - Id (Regence) | $258 | 290% |
| Blue Shield - Ny Highmark Northeastern | $258 | 290% |
| Blue Shield - Ny Highmark Western | $258 | 290% |
| Blue Shield - Pa (Highmark) | $258 | 290% |
| Blue Shield - Wa (Regence) | $258 | 290% |
| Allied National Global Care | $266 | 299% |
| Asrm - Reliance Standard Life Insurance | $266 | 299% |
| Christian Care Ministry | $266 | 299% |
| Dean Health | $266 | 299% |
| Fallon Health | $266 | 299% |
| Family Life Insurance Company | $266 | 299% |
| First Choice Health | $266 | 299% |
| Ghc Scw | $266 | 299% |
| International Benefit Administrators | $266 | 299% |
| Lifetime Benefit Solutions | $266 | 299% |
| Manhattan Life | $266 | 299% |
| Pai | $266 | 299% |
| Pan-American Life | $266 | 299% |
| Paramount Hmo | $266 | 299% |
| Phcs | $266 | 299% |
| Trinity Health Share | $266 | 299% |
| Webtpa | $266 - $274 | 299% |
| Lifewise | $275 | 309% |
| Priority Health | $278 | 313% |
| Allied Benefit Systems | $280 | 315% |
| Ameriben | $280 | 315% |
| Asr Health Benefits | $280 | 315% |
| Christian Brother Services | $280 | 315% |
| Geha | $280 - $284 | 315% |
| Healthez | $280 | 315% |
| Luminare Health (Detroit) | $280 | 315% |
| Rural Carrier Health Benefit Plan | $280 | 315% |
| First Health | $281 | 316% |
| Medi Share | $281 | 316% |
| Providence | $281 | 316% |