CMS Price Transparency Data

X-ray, chest (two views)

Facility: Decatur Memorial Hospital

Billing Code: 71046 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 71046
Insurance Median: $241
Cash Discount Price: $529
vs. Medicare Baseline: 2.71x Medicare

The contracted insurance negotiated median rate for a X-ray, chest (two views) at Decatur Memorial Hospital is $241. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $529. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 2.71x the Medicare baseline. Located in 2300 North Edward Street, Decatur, IL.

Cash / Self-Pay

$529

Average discount available for prompt cash payment at this facility.

Insurance Median

$241

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: $529 (595%)

Insurance Median: $241 (271%)

Cash: $529 (595% of Medicare)

Ins. Median: $241 (271% 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 271% of the Medicare baseline (a markup of 171%). 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
Aetna	$31 - $355	35%
Blue Cross Blue Shield	$31 - $529	35%
Coventry	$31 - $268	35%
Health Alliance	$31 - $352	35%
Humana	$31 - $344	35%
Medicare (plans)	$31 - $92	35%
Tricare	$31 - $93	35%
UnitedHealthcare	$31 - $529	35%
Veterans Administration	$31 - $92	35%
Medicaid / KanCare	$70 - $72	79%
Plain Church Medical Group	$75 - $238	84%
Wellcare	$92	103%
Illinois Workers Compensation	$109 - $281	123%
Mennonite Churches	$185	208%
Caterpillar	$210	236%
Health Alliance Mh Employee Plan	$243	273%
Cigna	$247	278%
Hfn	$265 - $397	298%
Commercial Workers Compensation	$267	300%
6 Degrees Health	$317	357%
Hopetrust	$317	357%
Hst	$317	357%
Phcs Savility	$344	387%
Phcs Multiplan Ppo	$360	405%
Healthlink	$363	408%
Corvel	$381	429%
Consociate	$391	440%
Liability	$529	595%

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 $529.
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 Decatur Memorial 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.