CMS Price Transparency Data

X-ray, chest (two views)

Facility: Reading Hospital

Billing Code: 71046 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 71046
  • Insurance Median: $197
  • Cash Discount Price: $345
  • vs. Medicare Baseline: 2.22x Medicare
The contracted insurance negotiated median rate for a X-ray, chest (two views) at Reading Hospital is $197. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $345. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 2.22x the Medicare baseline. Located in 420 S 5Th Avenue, West Reading, PA.
Cash / Self-Pay
$345

Average discount available for prompt cash payment at this facility.

Insurance Median
$197

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: $345 (388%)
Insurance Median: $197 (222%)
Cash: $345 (388% of Medicare)
Ins. Median: $197 (222% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 222% of the Medicare baseline (a markup of 122%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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
Blue Cross Blue Shield $13 - $211 15%
Upmc $16 - $266 18%
Geisinger $18 - $312 20%
Keystone First $18 20%
Amerihealth Caritas $19 21%
Gateway $19 21%
Health Partners $19 21%
Pa Health & Wellness $19 21%
UnitedHealthcare $19 - $433 21%
Wernersville State Hospital $19 21%
Aetna $37 - $340 42%
Pma $197 222%
Lehigh Valley Health Network $222 250%
Cigna $282 317%
Berkshire $370 416%
First Health $380 427%
Blue Ridge $468 526%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 420 S 5Th Avenue, West Reading, PA 19611
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals