CMS Price Transparency Data

X-ray, chest (two views)

Facility: UPMC Children's Hospital of Pittsburgh

Billing Code: 71046 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 71046
Insurance Median: $228
Cash Discount Price: $291
vs. Medicare Baseline: 2.56x Medicare

The contracted insurance negotiated median rate for a X-ray, chest (two views) at UPMC Children's Hospital of Pittsburgh is $228. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $291. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 2.56x the Medicare baseline. Located in One Children's Hospital Drive, Pittsburgh, PA.

Cash / Self-Pay

$291

Average discount available for prompt cash payment at this facility.

Insurance Median

$228

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: $291 (327%)

Insurance Median: $228 (256%)

Cash: $291 (327% of Medicare)

Ins. Median: $228 (256% 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 256% of the Medicare baseline (a markup of 156%). 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
Aetna	$32 - $267	36%
Blue Cross Blue Shield	$34 - $242	38%
Upmc Health Plan	$55 - $168	62%
UnitedHealthcare	$59 - $228	66%
Health Plan Of Upper Ohio Valley	$84 - $315	94%
Amerihealth Caritas	$89 - $91	100%
Cigna	$91 - $267	102%
Health Partners Plans (Jefferson Health Plan)	$91	102%
Highmark Wholecare (Prev Gateway)	$95	107%
Pa Health & Wellness	$96	108%
Geisinger	$97 - $218	109%
Intergroup	$315 - $412	354%
Coventry/First Health	$388	436%
Saudi Armed Forces	$388	436%
Health Payors Organization	$412	463%
Multiplan	$412	463%
National Provider Network	$436	490%
Private Health Care Systems	$436	490%

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 $291.
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 Children's Hospital of Pittsburgh 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.