CMS Price Transparency Data

X-ray, chest (two views)

Facility: St Anthony Regional Hospital & Nursing Home

Billing Code: 71046 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 71046
Insurance Median: $78
Cash Discount Price: $97
vs. Medicare Baseline: 0.88x Medicare

The contracted insurance negotiated median rate for a X-ray, chest (two views) at St Anthony Regional Hospital & Nursing Home is $78. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $97. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 0.88x the Medicare baseline. Located in 311 South Clark Street, Carroll, IA.

Cash / Self-Pay

$97

Average discount available for prompt cash payment at this facility.

Insurance Median

$78

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: $97 (109%)

Insurance Median: $78 (88%)

Cash: $97 (109% of Medicare)

Ins. Median: $78 (88% 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
Humana	$35 - $82	39%
Va Ccn - All Plans	$35	39%
Wellpoint Mcr Adv	$35	39%
Ia Total Care Mcr	$36	40%
Wellpoint Mcaid - All Other Plans	$40	45%
Molina Mcaid - All Plans	$41	46%
Wellmark Hmo	$60	67%
Wellmark Ppo-All Other Plans	$65	73%
Aetna	$78 - $132	88%
UnitedHealthcare	$78 - $297	88%
Midlands Choice - All Plans	$91	102%
Medica Mcr - All Plans	$132	148%
Ia Total Care Mcaid	$151	170%
Ia Total Care Comm - All Other Plans	$172	193%

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 $97.
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 St Anthony Regional Hospital & Nursing Home 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.