CMS Price Transparency Data

X-ray, chest (two views)

Facility: Good Samaritan Hospital of Suffern

Billing Code: 71046 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 71046
Insurance Median: $116
Cash Discount Price: $1,488
vs. Medicare Baseline: 1.30x Medicare

The contracted insurance negotiated median rate for a X-ray, chest (two views) at Good Samaritan Hospital of Suffern is $116. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,488. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.30x the Medicare baseline. Located in 255 Lafayette Avenue, Suffern, NY.

Cash / Self-Pay

$1,488

Average discount available for prompt cash payment at this facility.

Insurance Median

$116

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: $1,488 (1674%)

Insurance Median: $116 (130%)

Cash: $1,488 (1674% of Medicare)

Ins. Median: $116 (130% 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
Blue Cross Blue Shield	$19 - $595	21%
Self-Pay	$20	22%
Emblem	$55 - $117	62%
Aetna	$78 - $87	88%
Emblem Select Care (Exchange)	$78	88%
Emblem Ghi/Hip PPO	$92	103%
Cigna	$92 - $1,042	103%
Mvp Exchange	$98	110%
Mvp Gold (McR)	$108	121%
Medicare (plans)	$108 - $116	121%
Hamaspik (McR)	$108	121%
Tricare	$109	123%
Affinity By Molina McR	$114	128%
Beacon Exchange	$130	146%
Beacon Commercial	$141	159%
Mvp Hmo/Ppo	$191	215%
Geisinger Health Commercial/Exchange	$357	402%
Self-Pay - Cc 50%	$744	837%
Cdphp	$744	837%
Magnacare Standard	$1,042	1172%
PHCS	$1,116	1255%
Multiplan	$1,116	1255%
Emblem Ghi/Hip Hmo/Epo/Pos	$1,190	1338%
Oxford Commercial	$1,244	1399%
First Health	$1,265	1423%
Magnacare Preferred	$1,339	1506%
UnitedHealthcare	$1,351 - $1,589	1520%
Oxford Exchange	$1,351	1520%
Mvp	$15,061 - $17,751	16940%

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 $1,488.
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 Good Samaritan Hospital of Suffern 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.