CMS Price Transparency Data

X-ray, chest (single view)

Facility: Mercy Medical Center-New Hampton

Billing Code: 71045 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 71045
  • Insurance Median: $244
  • Cash Discount Price: $168
  • vs. Medicare Baseline: 2.74x Medicare
The contracted insurance negotiated median rate for a X-ray, chest (single view) at Mercy Medical Center-New Hampton is $244. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $168. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 2.74x the Medicare baseline. Located in 308 North Maple Avenue, New Hampton, IA.
Cash / Self-Pay
$168

Average discount available for prompt cash payment at this facility.

Insurance Median
$244

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: $168 (189%)
Insurance Median: $244 (274%)
Cash: $168 (189% of Medicare)
Ins. Median: $244 (274% 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 274% of the Medicare baseline (a markup of 174%). 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
Blue Cross Blue Shield $102 115%
Aetna $103 - $244 116%
Medicare (plans) $104 - $115 117%
UnitedHealthcare $109 - $155 123%
Health Choices $130 146%
Medical Associates $130 146%
Amish Hospital Aid $137 154%
Oscar $152 171%
Geha $155 174%
Ambetter / Centene $173 195%
Iowa Total Care $176 198%
Medicaid / KanCare $179 - $180 201%
Claimdoc $207 233%
Nova $207 233%
1199 National Benefit Fund $244 274%
Allied Benefit Systems $244 274%
Asr Health Benefits $244 274%
Coventry $244 274%
First Health $244 274%
Lucent Health $244 274%
Luminare Health $244 274%
Medical Mutual $244 274%
Meritain $244 274%
Trustmark Small Business Benefits $244 274%
Webtpa $244 274%
First Choice Health $245 276%
Health Partners $248 279%
Auxiant $250 281%
Cigna $250 281%
Medica $250 281%
Midlands $250 281%
Midlands Choice $250 281%
Crime Victim Assistance $258 290%
Iowa Dept Of Public Health $258 290%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 308 North Maple Avenue, New Hampton, IA 50659
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Critical Access Hospitals