CMS Price Transparency Data

X-ray, chest (two views)

Facility: Forks Community Hospital

Billing Code: 71046 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 71046
Insurance Median: $232
Cash Discount Price: $345
vs. Medicare Baseline: 2.61x Medicare

The contracted insurance negotiated median rate for a X-ray, chest (two views) at Forks Community Hospital is $232. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $345. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 2.61x the Medicare baseline. Located in 530 Bogachiel Way, Forks, WA.

Cash / Self-Pay

$345

Average discount available for prompt cash payment at this facility.

Insurance Median

$232

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: $345 (388%)

Insurance Median: $232 (261%)

Cash: $345 (388% of Medicare)

Ins. Median: $232 (261% 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 261% of the Medicare baseline (a markup of 161%). 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
Medicaid / KanCare	$66 - $246	74%
Coordinated Care (Mco) Mcd-All Plans	$72 - $251	81%
UnitedHealthcare	$85 - $570	96%
Community Health Network Mcr-All Other Plans	$86 - $302	97%
Humana	$86 - $302	97%
Tricare	$86 - $302	97%
Triwest-All Plans	$86 - $302	97%
Ambetter / Centene	$100 - $350	112%
Wellcare Med Adv - All Plans	$100 - $350	112%
Regence-All Other Plans	$111 - $386	125%
Community Health Exchange	$125 - $436	141%
Molina Commercial-All Other Plans	$177 - $617	199%
Aetna	$182 - $637	205%
Blue Cross Blue Shield	$182 - $637	205%
Cigna	$192 - $671	216%
First Choice-All Plans	$192 - $671	216%
Medicare (plans)	$318	358%

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 $345.
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 Forks Community 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.