CMS Price Transparency Data

X-ray, chest (single view)

Facility: Mercy Regional Medical Center

Billing Code: 71045 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 71045
  • Insurance Median: $233
  • Cash Discount Price: $256
  • vs. Medicare Baseline: 2.62x Medicare
The contracted insurance negotiated median rate for a X-ray, chest (single view) at Mercy Regional Medical Center is $233. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $256. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 2.62x the Medicare baseline. Located in 1010 Three Springs Blvd, Durango, CO.
Cash / Self-Pay
$256

Average discount available for prompt cash payment at this facility.

Insurance Median
$233

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: $256 (288%)
Insurance Median: $233 (262%)
Cash: $256 (288% of Medicare)
Ins. Median: $233 (262% 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 262% of the Medicare baseline (a markup of 162%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash 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
Aetna $17 - $563 19%
Blue Cross Blue Shield $17 - $563 19%
Cigna $17 - $550 19%
Denver Health $17 - $189 19%
Humana $17 - $544 19%
Innovage $17 19%
Kaiser $17 19%
Medicare (plans) $17 19%
Rocky Mountain Pace $17 19%
UnitedHealthcare $17 - $182 19%
Archdiocese Of Denver $72 81%
Centura Employee Plan $91 102%
United Colorado Doctor'S Plan $182 205%
Direct To Employer $416 468%
Presbyterian Health Plan $480 540%
Multiplan $575 647%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1010 Three Springs Blvd, Durango, CO 81301
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals