CMS Price Transparency Data

X-ray, chest (two views)

Facility: Veterans Memorial Hospital

Billing Code: 71046 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 71046
  • Insurance Median: $95
  • Cash Discount Price: $125
  • vs. Medicare Baseline: 1.07x Medicare
The contracted insurance negotiated median rate for a X-ray, chest (two views) at Veterans Memorial Hospital is $95. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $125. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.07x the Medicare baseline. Located in 40 1St Street Se, Waukon, IA.
Cash / Self-Pay
$125

Average discount available for prompt cash payment at this facility.

Insurance Median
$95

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: $125 (141%)
Insurance Median: $95 (107%)
Cash: $125 (141% of Medicare)
Ins. Median: $95 (107% 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
Humana $8 - $165 9%
Aetna $10 - $147 11%
Amerigroup Mcr Adv $10 - $95 11%
Iowa Total Care Exchange $10 - $95 11%
Molina Mcr Adv $10 - $95 11%
Quartz Mcr Adv $10 - $95 11%
Welmark Mcr Adv $10 - $95 11%
Wellmark Hmo - All Other Plans $61 69%
Quartz Comm - All Other Plans $65 - $165 73%
Wellmark Ppo $67 75%
Amerigroup Mcaid - All Other Plans $89 - $220 100%
Iowa Total Care Mcr Adv $95 107%
Medica Mcr Adv $95 107%
UnitedHealthcare $95 - $187 107%
Iowa Total Care Mcaid - All Other Plans $112 - $220 126%
Molina Mcaid - All Other Plans $112 - $220 126%
Medica Comm - All Other Plans $277 312%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 40 1St Street Se, Waukon, IA 52172
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals