CMS Price Transparency Data

X-ray, chest (two views)

Facility: Ottumwa Regional Health Center

Billing Code: 71046 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 71046
  • Insurance Median: $92
  • Cash Discount Price: $293
  • vs. Medicare Baseline: 1.03x Medicare
The contracted insurance negotiated median rate for a X-ray, chest (two views) at Ottumwa Regional Health Center is $92. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $293. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.03x the Medicare baseline. Located in 1001 E Pennsylvania, Ottumwa, IA.
Cash / Self-Pay
$293

Average discount available for prompt cash payment at this facility.

Insurance Median
$92

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: $293 (330%)
Insurance Median: $92 (103%)
Cash: $293 (330% of Medicare)
Ins. Median: $92 (103% 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
Iowa Total Care Inc $82 92%
Wellpoint Iowa, Inc. $82 - $89 92%
Molina Healthcare Of Iowa $85 96%
UnitedHealthcare $85 - $269 96%
Wellmark Advantage Health Plan $86 - $88 97%
Aetna $90 - $531 101%
Humana $92 103%
Wellmark Health Plan Of Iowa $104 117%
Blue Cross Blue Shield $114 128%
Oscar $383 431%
Meritain Health $531 597%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1001 E Pennsylvania, Ottumwa, IA 52501
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals