CMS Price Transparency Data

X-ray, chest (two views)

Facility: Mc Donough District Hospital

Billing Code: 71046 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 71046
Insurance Median: $70
Cash Discount Price: $280
vs. Medicare Baseline: 0.79x Medicare

The contracted insurance negotiated median rate for a X-ray, chest (two views) at Mc Donough District Hospital is $70. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $280. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 0.79x the Medicare baseline. Located in 525 East Grant Street, Macomb, IL.

Cash / Self-Pay

$280

Average discount available for prompt cash payment at this facility.

Insurance Median

$70

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: $280 (315%)

Insurance Median: $70 (79%)

Cash: $280 (315% of Medicare)

Ins. Median: $70 (79% 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
Health Alliance	$6 - $471	7%
Hfn	$9 - $476	10%
UnitedHealthcare	$9 - $476	10%
Aetna	$10 - $529	11%
Humana	$10 - $476	11%
Medicaid / KanCare	$10 - $529	11%
Medicare (plans)	$10 - $98	11%
Meridian	$10 - $98	11%
Molina	$10 - $529	11%
Mutual Medical	$10 - $529	11%
Veteran Affairs	$10 - $98	11%
Springfield Health	$48 - $434	54%
Consociate	$50 - $450	56%
Trilogy	$50 - $450	56%
Blue Choice	$53 - $476	60%
Current Health	$53 - $476	60%
Healthlink	$53 - $497	60%
Preferred Plan	$56 - $503	63%
Blue Cross Blue Shield	$59 - $529	66%
Tricare	$92	103%

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 $280.
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 Mc Donough District 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.