CMS Price Transparency Data

X-ray, chest (two views)

Facility: Froedtert Memorial Lutheran Hospital

Billing Code: 71046 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 71046
Insurance Median: $256
Cash Discount Price: $196
vs. Medicare Baseline: 2.88x Medicare

The contracted insurance negotiated median rate for a X-ray, chest (two views) at Froedtert Memorial Lutheran Hospital is $256. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $196. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 2.88x the Medicare baseline. Located in 9200 W Wisconsin Ave, Milwaukee, WI.

Cash / Self-Pay

$196

Average discount available for prompt cash payment at this facility.

Insurance Median

$256

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: $196 (220%)

Insurance Median: $256 (288%)

Cash: $196 (220% of Medicare)

Ins. Median: $256 (288% 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 288% of the Medicare baseline (a markup of 188%). 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
Blue Cross Blue Shield	$89 - $314	100%
Community Care	$89	100%
Health Partners	$89 - $229	100%
Humana	$89	100%
Icare	$89	100%
Molina	$89	100%
Network Health Plan	$89 - $399	100%
Priority Health	$89	100%
Quartz	$89	100%
Security Health Plan	$89 - $290	100%
UnitedHealthcare	$89 - $617	100%
Upper Peninsula Health Plan	$89	100%
Aetna	$91 - $240	102%
Wellcare	$91	102%
Care Wisconsin/Mychoice	$92	103%
Centivo	$103 - $122	116%
Medical College Of Wisconsin	$114 - $122	128%
Chorus Community Health Plan	$134 - $144	151%
Froedtert South	$138 - $148	155%
Wisconsin Physician Services Statewide Alliance	$217 - $232	244%
Trilogy	$224 - $240	252%
Health Payment Systems	$226 - $243	254%
Cigna	$268 - $288	301%
Dean Health Plan	$275 - $295	309%
Group Health Cooperative	$275 - $295	309%
Healtheos	$275 - $295	309%
Multiplan/Private Healthcare Systems	$275 - $295	309%
Healthsmart	$286 - $306	322%
Wisconsin Physician Services	$292 - $314	328%
First Health Network	$298 - $319	335%
Sheboygan Employers Health Network	$445	501%

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 $196.
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 Froedtert Memorial Lutheran 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.