CMS Price Transparency Data

X-ray, chest (two views)

Facility: HCA Houston Healthcare Medical Center

Billing Code: 71046 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 71046
  • Insurance Median: $194
  • Cash Discount Price: $1,934
  • vs. Medicare Baseline: 2.18x Medicare
The contracted insurance negotiated median rate for a X-ray, chest (two views) at HCA Houston Healthcare Medical Center is $194. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,934. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 2.18x the Medicare baseline. Located in 1313 Hermann Dr, Houston, TX.
Cash / Self-Pay
$1,934

Average discount available for prompt cash payment at this facility.

Insurance Median
$194

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: $1,934 (2175%)
Insurance Median: $194 (218%)
Cash: $1,934 (2175% of Medicare)
Ins. Median: $194 (218% 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 218% of the Medicare baseline (a markup of 118%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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
Community Health Choice Mcd $34 38%
United $34 - $1,043 38%
Aetna $36 - $247 40%
Molina Healthcare $37 42%
Humana $42 - $341 47%
Superior Health Plan $70 - $139 79%
Cigna $85 - $109 96%
Blue Cross Blue Shield $140 - $811 157%
Healthcare Highways $298 - $591 335%
Evry Health $319 - $633 359%
Christus (Usfhp) $468 - $927 526%
Curative Administrators $468 - $927 526%
Coventry National First Health $624 - $1,235 702%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1313 Hermann Dr, Houston, TX 77004
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals