CMS Price Transparency Data

X-ray, chest (two views)

Facility: Geisinger Wyoming Valley Medical Center

Billing Code: 71046 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 71046
Insurance Median: $242
Cash Discount Price: $464
vs. Medicare Baseline: 2.72x Medicare

The contracted insurance negotiated median rate for a X-ray, chest (two views) at Geisinger Wyoming Valley Medical Center is $242. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $464. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 2.72x the Medicare baseline. Located in 1000 East Mountain Boulevard, Wilkes Barre, PA.

Cash / Self-Pay

$464

Average discount available for prompt cash payment at this facility.

Insurance Median

$242

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: $464 (522%)

Insurance Median: $242 (272%)

Cash: $464 (522% of Medicare)

Ins. Median: $242 (272% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 272% of the Medicare baseline (a markup of 172%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
Geisinger Family Plan	$24	27%
Medicaid / KanCare	$24	27%
Amerihealth	$27	30%
Health Partners	$28	31%
Upmc For You	$28	31%
Upmc Chip	$30	34%
Geisinger Health Plan	$87 - $267	98%
Humana	$87	98%
Life Geisinger	$87	98%
Medicare (plans)	$87 - $98	98%
Prison Health Services	$87	98%
Blue Cross Blue Shield	$88 - $174	99%
Ambetter / Centene	$287	323%
Cigna	$324 - $339	364%
Aetna	$348 - $500	391%
Christian Healthcare Ministries	$374	421%
UnitedHealthcare	$382	430%
Wyoming Seminary	$524	589%
Intergroup Services	$636	715%
Multiplan	$636	715%

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 $464.
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 Geisinger Wyoming Valley 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.