CMS Price Transparency Data

X-ray, chest (two views)

Facility: UPMC Northwest

Billing Code: 71046 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 71046
Insurance Median: $94
Cash Discount Price: $141
vs. Medicare Baseline: 1.06x Medicare

The contracted insurance negotiated median rate for a X-ray, chest (two views) at UPMC Northwest is $94. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $141. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.06x the Medicare baseline. Located in 100 Fairfield Drive, Seneca, PA.

Cash / Self-Pay

$141

Average discount available for prompt cash payment at this facility.

Insurance Median

$94

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: $141 (159%)

Insurance Median: $94 (106%)

Cash: $141 (159% of Medicare)

Ins. Median: $94 (106% 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
Upmc Health Plan	$26 - $86	29%
UnitedHealthcare	$27 - $92	30%
Aetna	$28 - $153	31%
Blue Cross Blue Shield	$31 - $84	35%
Highmark Wholecare (Prev Gateway)	$35 - $118	39%
Amerihealth Caritas	$37 - $91	42%
Upmc Work Partners	$38	43%
Pa Health & Wellness	$40 - $91	45%
Cigna	$94 - $153	106%
Intergroup	$153 - $3,704	172%
Coventry/First Health	$164	184%
Health Coalition Partners	$169	190%
Private Health Care Systems	$188	211%
Humana	$200	225%

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 $141.
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 Northwest 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.