CMS Price Transparency Data

X-ray, chest (two views)

Facility: Monroe County Hospital

Billing Code: 71046 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 71046
Insurance Median: $128
Cash Discount Price: $155
vs. Medicare Baseline: 1.44x Medicare

The contracted insurance negotiated median rate for a X-ray, chest (two views) at Monroe County Hospital is $128. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $155. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.44x the Medicare baseline. Located in 6580 165Th Street, Albia, IA.

Cash / Self-Pay

$155

Average discount available for prompt cash payment at this facility.

Insurance Median

$128

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: $155 (174%)

Insurance Median: $128 (144%)

Cash: $155 (174% of Medicare)

Ins. Median: $128 (144% 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.

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
Wellmark Hmo	$73	82%
Wellmark Ppo - All Other Plans	$78	88%
Mahp Mcare - All Plans	$109	123%
Tricare	$109	123%
UnitedHealthcare	$109 - $246	123%
Va Ccn - All Plans	$109	123%
Amerigroup Mcare	$110	124%
Humana	$110	124%
Wellmark Mcare	$110	124%
Aetna	$111 - $243	125%
Iowa Total Care Mcaid - All Plans	$129	145%
Molina Mcaid - All Plans	$131	147%
Amerigroup Mcaid - All Other Plans	$133	150%
Centivo - All Plans	$163	183%
Midlands Choice - All Plans	$181	204%
Preferred Hlth - All Plans	$194	218%
Geha - All Plans	$207	233%
Multiplan - All Plans	$233	262%
Integrated Hp - All Plans	$251	282%

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 $155.
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 Monroe County Hospital 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.