CMS Price Transparency Data

X-ray, chest (two views)

Facility: Northwest Hills Surgical Hospital

Billing Code: 71046 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 71046
Insurance Median: $45
Cash Discount Price: $117
vs. Medicare Baseline: 0.51x Medicare

The contracted insurance negotiated median rate for a X-ray, chest (two views) at Northwest Hills Surgical Hospital is $45. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $117. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 0.51x the Medicare baseline. Located in 6818 Austin Ctr Blvd Suite 100, Austin, TX.

Cash / Self-Pay

$117

Average discount available for prompt cash payment at this facility.

Insurance Median

$45

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: $117 (132%)

Insurance Median: $45 (51%)

Cash: $117 (132% of Medicare)

Ins. Median: $45 (51% 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.

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
Champva	$20 - $29	22%
Blue Cross Blue Shield	$26 - $323	29%
Dell Chip/Chip Perinate	$26 - $29	29%
Dell Star	$26 - $29	29%
UnitedHealthcare	$26 - $29	29%
Wellpoint Star	$26 - $29	29%
Wellpoint Star Plus	$26 - $34	29%
Ambetter / Centene	$34	38%
Wellpoint Chip/Chip Perinate	$34	38%
Wellpoint Star Kids	$34	38%
Humana	$41	46%
Tricare	$49	55%
Superior Star	$70 - $156	79%
Superior Star Kids	$70 - $156	79%
Superior Star Foster	$130 - $156	146%
Superior Star Plus	$130 - $156	146%
Superior Chip/Chip Perinate	$146 - $176	164%
Aetna	$177 - $221	199%
Cigna	$194	218%
Covenant Health	$221	249%

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 $117.
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 Northwest Hills Surgical 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.