CMS Price Transparency Data

X-ray, chest (two views)

Facility: Preston Memorial Hospital

Billing Code: 71046 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 71046
Insurance Median: $185
Cash Discount Price: $126
vs. Medicare Baseline: 2.08x Medicare

The contracted insurance negotiated median rate for a X-ray, chest (two views) at Preston Memorial Hospital is $185. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $126. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 2.08x the Medicare baseline. Located in 150 Memorial Drive, Kingwood, WV.

Cash / Self-Pay

$126

Average discount available for prompt cash payment at this facility.

Insurance Median

$185

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: $126 (142%)

Insurance Median: $185 (208%)

Cash: $126 (142% of Medicare)

Ins. Median: $185 (208% 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 208% of the Medicare baseline (a markup of 108%). 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
Unicare	$103	116%
Advantra	$132 - $171	148%
Aetna	$132 - $256	148%
Humana	$132 - $171	148%
Medicare (plans)	$132 - $231	148%
Uhc_Va	$132 - $171	148%
Upmc	$139 - $179	156%
Medicaid / KanCare	$143 - $194	161%
Blue_Cross_Highmark_Aca	$160 - $207	180%
Blue_Cross_Highmark_Pos	$178 - $230	200%
Blue_Cross_Highmark_Ppo	$178 - $230	200%
Blue_Cross_Highmark_Traditional	$195 - $252	219%
UnitedHealthcare	$198 - $256	223%
Cigna	$203 - $262	228%
Geha	$209 - $271	235%
4_Most	$214 - $276	241%
Health	$214 - $276	241%

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 $126.
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 Preston Memorial 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.