CMS Price Transparency Data

X-ray, chest (two views)

Facility: Adventist Health Tillamook

Billing Code: 71046 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 71046
Insurance Median: $152
Cash Discount Price: $107
vs. Medicare Baseline: 1.71x Medicare

The contracted insurance negotiated median rate for a X-ray, chest (two views) at Adventist Health Tillamook is $152. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $107. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.71x the Medicare baseline. Located in 1000 Third Street, Tillamook, OR.

Cash / Self-Pay

$107

Average discount available for prompt cash payment at this facility.

Insurance Median

$152

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: $107 (120%)

Insurance Median: $152 (171%)

Cash: $107 (120% of Medicare)

Ins. Median: $152 (171% 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
Aetna	$10 - $445	11%
Medicare (plans)	$10 - $225	11%
Moda Health Plan - All Plans	$10 - $225	11%
Sterling Life - All Plans	$10 - $234	11%
UnitedHealthcare	$10 - $454	11%
Blue Cross Blue Shield	$11 - $416	12%
Devoted Health	$11 - $243	12%
Hvhs Mcare - All Plans	$12 - $227	13%
Ods Health Plan - All Other Plans	$23 - $464	26%
Pacificsource - All Plans	$48 - $459	54%
Lifewise - All Plans	$65 - $431	73%
Ah Employee Health Plan - All Plans	$68 - $449	76%
First Choice Health- All Plans	$68 - $449	76%
Health Net - All Plans	$68 - $449	76%
Providence Preferred - All Plans	$71 - $468	80%
Workers Comp	$72 - $478	81%
Cigna	$104 - $454	117%
Phcs Preferred - All Plans	$104 - $454	117%

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 $107.
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 Adventist Health Tillamook 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.