CMS Price Transparency Data

X-ray, chest (single view)

Facility: Rio Grande Regional Hospital

Billing Code: 71045 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 71045
  • Insurance Median: $466
  • Cash Discount Price: $1,236
  • vs. Medicare Baseline: 5.24x Medicare
The contracted insurance negotiated median rate for a X-ray, chest (single view) at Rio Grande Regional Hospital is $466. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,236. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 5.24x the Medicare baseline. Located in 101 E Ridge Rd, McAllen, TX.
Cash / Self-Pay
$1,236

Average discount available for prompt cash payment at this facility.

Insurance Median
$466

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: $1,236 (1390%)
Insurance Median: $466 (524%)
Cash: $1,236 (1390% of Medicare)
Ins. Median: $466 (524% 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 524% of the Medicare baseline (a markup of 424%). 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
Texas Health Network $25 28%
Driscoll Children'S Health Plan $26 29%
United $27 - $588 30%
Aetna $28 31%
Molina Healthcare $28 31%
Humana $66 74%
Superior Health Plan $82 - $91 92%
Blue Cross Blue Shield $180 - $588 202%
Texas Workforce Commission $280 - $314 315%
Healthcare Highways $297 - $333 334%
Averde Health $384 - $431 432%
Cigna $446 - $596 502%
Allegian Health $466 - $523 524%
Curative Administrators $466 - $523 524%
Healthsmart Preferred Care $501 - $1,110 563%
First Health $670 - $751 754%
National Healthcare Solutions $699 - $784 786%
Southwest Medical $699 - $784 786%
Coastal Comp $757 - $849 851%
Usa Managed Care $757 - $1,045 851%
Ppo Next/ Medical Control $874 - $980 983%
Beech Street $932 - $1,045 1048%
Multiplan $932 - $1,045 1048%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 101 E Ridge Rd, McAllen, TX 78503
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals