CMS Price Transparency Data

X-ray, chest (two views)

Facility: UPMC Passavant

Billing Code: 71046 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 71046
Insurance Median: $91
Cash Discount Price: $419
vs. Medicare Baseline: 1.02x Medicare

The contracted insurance negotiated median rate for a X-ray, chest (two views) at UPMC Passavant is $91. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $419. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.02x the Medicare baseline. Located in 9100 Babcock Boulevard, Pittsburgh, PA.

Cash / Self-Pay

$419

Average discount available for prompt cash payment at this facility.

Insurance Median

$91

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: $419 (471%)

Insurance Median: $91 (102%)

Cash: $419 (471% of Medicare)

Ins. Median: $91 (102% 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 - $71	13%
Upmc Health Plan	$26 - $78	29%
UnitedHealthcare	$27 - $92	30%
Highmark Wholecare (Prev Gateway)	$35 - $91	39%
Amerihealth Caritas	$37 - $91	42%
Upmc Work Partners	$38	43%
Pa Health & Wellness	$40 - $91	45%
Private Health Care Systems	$44 - $650	49%
Health Plan Of Upper Ohio Valley	$84 - $323	94%
Aetna	$88 - $92	99%
Cigna	$238 - $280	268%
Coventry/First Health	$489	550%
Intergroup	$580 - $629	652%
Humana	$594 - $650	668%
Multiplan	$594 - $650	668%

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 $419.
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 Passavant 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.