CMS Price Transparency Data

X-ray, chest (two views)

Facility: Mercyone Newton Medical Center

Billing Code: 71046 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 71046
  • Insurance Median: $175
  • Cash Discount Price: $207
  • vs. Medicare Baseline: 1.97x Medicare
The contracted insurance negotiated median rate for a X-ray, chest (two views) at Mercyone Newton Medical Center is $175. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $207. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.97x the Medicare baseline. Located in 204 N 4Th Ave E, Newton, IA.
Cash / Self-Pay
$207

Average discount available for prompt cash payment at this facility.

Insurance Median
$175

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: $207 (233%)
Insurance Median: $175 (197%)
Cash: $207 (233% of Medicare)
Ins. Median: $175 (197% 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.

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 $82 - $298 92%
Medicare (plans) $82 - $86 92%
Blue Cross Blue Shield $83 - $89 93%
UnitedHealthcare $84 - $181 94%
Blue Benefit Administrators Of Massachusetts $89 100%
Blue Care Network $89 100%
Blue Distinction Transplant $89 100%
Blue Shield - Ca $89 100%
Blue Shield - Id (Regence) $89 100%
Blue Shield - Ny Highmark Northeastern $89 100%
Blue Shield - Ny Highmark Western $89 100%
Blue Shield - Pa (Highmark) $89 100%
Blue Shield - Wa (Regence) $89 100%
Iowa Total Care $100 112%
Medicaid / KanCare $101 - $102 114%
Amish Hospital Aid $112 126%
Oscar $119 134%
Centivo $121 136%
Ambetter / Centene $141 159%
Claimdoc $169 190%
Nova $169 190%
Geha $181 204%
Newton Correctional Facility $207 233%
Health Choices $240 270%
Medical Associates $240 270%
Health Partners $280 315%
Auxiant $293 330%
Cigna $293 330%
Health Alliance $293 330%
Medica $293 330%
Midlands $293 330%
Midlands Choice $293 330%
1199 National Benefit Fund $298 335%
Allied Benefit Systems $298 335%
Asr Health Benefits $298 335%
Christian Brother Services $298 335%
Coventry $298 335%
First Health $298 335%
Lucent Health $298 335%
Luminare Health $298 335%
Medical Mutual $298 335%
Meritain $298 335%
Trustmark Small Business Benefits $298 335%
Webtpa $298 335%
Crime Victim Assistance $318 358%
Iowa Dept Of Public Health $318 358%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 204 N 4Th Ave E, Newton, IA 50208
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals