CMS Price Transparency Data

X-ray, chest (two views)

Facility: Mercy Regional Medical Center

Billing Code: 71046 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 71046
Insurance Median: $276
Cash Discount Price: $218
vs. Medicare Baseline: 3.10x Medicare

The contracted insurance negotiated median rate for a X-ray, chest (two views) at Mercy Regional Medical Center is $276. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $218. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 3.10x the Medicare baseline. Located in 1010 Three Springs Blvd, Durango, CO.

Cash / Self-Pay

$218

Average discount available for prompt cash payment at this facility.

Insurance Median

$276

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: $218 (245%)

Insurance Median: $276 (310%)

Cash: $218 (245% of Medicare)

Ins. Median: $276 (310% 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 310% of the Medicare baseline (a markup of 210%). 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
Aetna	$23 - $664	26%
Blue Cross Blue Shield	$23 - $664	26%
Cigna	$23 - $649	26%
Denver Health	$23 - $223	26%
Humana	$23 - $642	26%
Innovage	$23	26%
Kaiser	$23	26%
Medicare (plans)	$23	26%
Rocky Mountain Pace	$23	26%
UnitedHealthcare	$23 - $182	26%
Archdiocese Of Denver	$72	81%
Centura Employee Plan	$91	102%
United Colorado Doctor'S Plan	$182	205%
Direct To Employer	$219 - $491	246%
Presbyterian Health Plan	$253 - $566	285%
Multiplan	$303 - $679	341%

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 $218.
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 Mercy Regional Medical Center 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.