CMS Price Transparency Data

X-ray, chest (two views)

Facility: UPMC Hamot

Billing Code: 71046 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 71046
Insurance Median: $133
Cash Discount Price: $533
vs. Medicare Baseline: 1.50x Medicare

The contracted insurance negotiated median rate for a X-ray, chest (two views) at UPMC Hamot is $133. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $533. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.50x the Medicare baseline. Located in 201 State Street, Erie, PA.

Cash / Self-Pay

$533

Average discount available for prompt cash payment at this facility.

Insurance Median

$133

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: $533 (599%)

Insurance Median: $133 (150%)

Cash: $533 (599% of Medicare)

Ins. Median: $133 (150% 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	$12 - $102	13%
Upmc Health Plan	$26 - $99	29%
UnitedHealthcare	$27 - $404	30%
Aetna	$28 - $622	31%
Geisinger	$33	37%
Highmark Wholecare (Prev Gateway)	$35 - $444	39%
Health Partners Plans (Jefferson Health Plan)	$36	40%
Amerihealth Caritas	$37 - $105	42%
Upmc Work Partners	$38	43%
Pa Health & Wellness	$40 - $105	45%
Fidelis	$97	109%
Wellcare	$100	112%
Cigna	$105 - $355	118%
Independent Health	$118 - $158	133%
Univera	$133 - $391	150%
Intergroup	$577 - $710	649%
Multiplan	$622 - $710	700%

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 $533.
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 UPMC Hamot 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.