CMS Price Transparency Data

X-ray, chest (two views)

Facility: Caribou Medical Center

Billing Code: 71046 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 71046
Insurance Median: $313
Cash Discount Price: $243
vs. Medicare Baseline: 3.52x Medicare

The contracted insurance negotiated median rate for a X-ray, chest (two views) at Caribou Medical Center is $313. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $243. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 3.52x the Medicare baseline. Located in 300 South 3Rd West, Soda Springs, ID.

Cash / Self-Pay

$243

Average discount available for prompt cash payment at this facility.

Insurance Median

$313

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: $243 (273%)

Insurance Median: $313 (352%)

Cash: $243 (273% of Medicare)

Ins. Median: $313 (352% 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 352% of the Medicare baseline (a markup of 252%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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	$144 - $168	162%
Pacific Source Mcr Adv	$144 - $168	162%
Regence Blue Shield Mcr	$144 - $168	162%
Select Health Mcr Adv	$144 - $168	162%
Select Health/Bright Path Mcr Adv	$144 - $168	162%
Blue Cross Blue Shield	$146 - $366	164%
Aetna	$202 - $366	227%
First Choice Health-All Plans	$289 - $336	325%
Bc Qualified Hp (Qhp)	$298 - $347	335%
Deseret Healthcare-All Plans	$305 - $354	343%
Pacific Source-All Other Plans	$311 - $362	350%
UnitedHealthcare	$311 - $362	350%
Cigna	$314 - $366	353%
Montana Health Co-Op-All Plans	$314 - $366	353%
Regence Blue Shield-All Other Plans	$314 - $366	353%
Select Health-All Other Plans	$314 - $366	353%

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 $243.
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 Caribou Medical Center 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.