CMS Price Transparency Data

X-ray, chest (two views)

Facility: Rio Grande Regional Hospital

Billing Code: 71046 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 71046
Insurance Median: $495
Cash Discount Price: $1,312
vs. Medicare Baseline: 5.57x Medicare

The contracted insurance negotiated median rate for a X-ray, chest (two views) at Rio Grande Regional Hospital is $495. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,312. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 5.57x the Medicare baseline. Located in 101 E Ridge Rd, McAllen, TX.

Cash / Self-Pay

$1,312

Average discount available for prompt cash payment at this facility.

Insurance Median

$495

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: $1,312 (1476%)

Insurance Median: $495 (557%)

Cash: $1,312 (1476% of Medicare)

Ins. Median: $495 (557% 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 557% of the Medicare baseline (a markup of 457%). 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
Texas Health Network	$33	37%
United	$34 - $624	38%
Driscoll Children'S Health Plan	$35	39%
Aetna	$36	40%
Molina Healthcare	$37	42%
Superior Health Plan	$87 - $97	98%
Humana	$91	102%
Blue Cross Blue Shield	$180 - $624	202%
Texas Workforce Commission	$297 - $333	334%
Healthcare Highways	$316 - $353	355%
Averde Health	$408 - $457	459%
Cigna	$446 - $596	502%
Allegian Health	$495 - $554	557%
Curative Administrators	$495 - $554	557%
Healthsmart Preferred Care	$532 - $1,178	598%
First Health	$712 - $797	801%
National Healthcare Solutions	$742 - $831	835%
Southwest Medical	$742 - $831	835%
Coastal Comp	$804 - $901	904%
Usa Managed Care	$804 - $1,109	904%
Ppo Next/ Medical Control	$928 - $1,039	1044%
Beech Street	$990 - $1,109	1113%
Multiplan	$990 - $1,109	1113%

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 $1,312.
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 Rio Grande Regional Hospital 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.