CMS Price Transparency Data

X-ray, chest (two views)

Facility: Indiana Regional Medical Center

Billing Code: 71046 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 71046
  • Insurance Median: $62
  • Cash Discount Price: $120
  • vs. Medicare Baseline: 0.70x Medicare
The contracted insurance negotiated median rate for a X-ray, chest (two views) at Indiana Regional Medical Center is $62. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $120. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 0.70x the Medicare baseline. Located in 835 Hospital Road, Indiana, PA.
Cash / Self-Pay
$120

Average discount available for prompt cash payment at this facility.

Insurance Median
$62

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: $120 (135%)
Insurance Median: $62 (70%)
Cash: $120 (135% of Medicare)
Ins. Median: $62 (70% 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.

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
UnitedHealthcare $17 - $134 19%
Upmc Health Plan $18 - $175 20%
Ambetter / Centene $20 - $94 22%
Amerihealth Caritas $20 - $94 22%
Geisinger Health Plan $20 - $94 22%
Highmark $30 - $250 34%
Humana $30 - $89 34%
Aetna $31 - $278 35%
Cigna $31 - $231 35%
Highmark Wholecare $31 - $91 35%
Medicare (plans) $31 - $91 35%
Tricare $31 - $334 35%
United Mine Workers Of America $31 - $91 35%
Geisinger $43 - $254 48%
Pa Health And Wellness Commercial $43 - $254 48%
Department Of Human Services And Torrance State Hospital $210 236%
Premier Comp Solutions, Llc $301 339%
Miscellaneous Commercial $334 376%
Pa Workers Compensation $334 376%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 835 Hospital Road, Indiana, PA 15701
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals