CMS Price Transparency Data

X-ray, chest (two views)

Facility: St Mary Medical Center

Billing Code: 71046 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 71046
Insurance Median: $114
Cash Discount Price: $205
vs. Medicare Baseline: 1.28x Medicare

The contracted insurance negotiated median rate for a X-ray, chest (two views) at St Mary Medical Center is $114. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $205. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.28x the Medicare baseline. Located in Langhorne-Newtown Rd, Langhorne, PA.

Cash / Self-Pay

$205

Average discount available for prompt cash payment at this facility.

Insurance Median

$114

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: $205 (231%)

Insurance Median: $114 (128%)

Cash: $205 (231% of Medicare)

Ins. Median: $114 (128% 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
Medicaid / KanCare	$17 - $75	19%
Aetna	$22 - $280	25%
UnitedHealthcare	$24 - $152	27%
Pace-Trinity Health	$35	39%
Keystone First	$36 - $57	40%
Keystone First Chip	$36 - $57	40%
Blue Cross Blue Shield	$94 - $140	106%
Cigna	$95 - $212	107%
Align Senior Care	$96	108%
Medicare (plans)	$96 - $169	108%
Health America Advantra	$113	127%
Amerihealth	$116	130%
Blue Shield - Ca	$116	130%
Blue Shield - Id (Regence)	$116	130%
Blue Shield - Ny Highmark Western	$116	130%
Blue Shield - Wa (Regence)	$116	130%
Geha	$129	145%
Ambetter / Centene	$167	188%
Oscar	$169	190%
Prime Healthcare	$169	190%
Jefferson Health Plan Commercial	$171	192%
Homestead Health Plans Woods Center	$183	206%
Group Pension Administrators	$211	237%
Reedman Toll	$211	237%
Upmc Health Plan	$212	238%
Webtpa	$212	238%
Blue Shield - Pa (Highmark)	$254	286%
Meritain	$280	315%
Multiplan	$284	319%
Prime Health Services	$284	319%
Galaxy Health Network	$299	336%
Three Rivers Provider Network	$299	336%

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 $205.
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 St Mary Medical Center 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.