CMS Price Transparency Data

X-ray, chest (two views)

Facility: Warner Hospital and Health Services

Billing Code: 71046 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 71046
Insurance Median: $350
Cash Discount Price: $449
vs. Medicare Baseline: 3.94x Medicare

The contracted insurance negotiated median rate for a X-ray, chest (two views) at Warner Hospital and Health Services is $350. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $449. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 3.94x the Medicare baseline. Located in 422 W White St, Clinton, IL.

Cash / Self-Pay

$449

Average discount available for prompt cash payment at this facility.

Insurance Median

$350

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: $449 (505%)

Insurance Median: $350 (394%)

Cash: $449 (505% of Medicare)

Ins. Median: $350 (394% 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 394% of the Medicare baseline (a markup of 294%). 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
Blue Cross Blue Shield	$179 - $440	201%
Aetna	$184 - $382	207%
Health Alliance Med Adv	$184	207%
Humana	$184 - $382	207%
Molina Mcr/Mcd Dual	$184	207%
UnitedHealthcare	$184 - $382	207%
Wellcare Mcr Adv-All Plans	$184	207%
Harmony Hp Mcaid-All Plans	$213	240%
Medicaid / KanCare	$213	240%
Meridian Hp-All Plans	$213	240%
Molina-All Other Plans	$213	240%
Healthlink Hmo	$350	394%
City Of Clinton (Employees Serv)-All Plans	$359	404%
Cigna	$373	420%
Caterpillar-All Plans	$382	430%
Multiplan Phcs-All Plans	$382	430%
Health Alliance-All Other Plans	$395	444%
Healthlink Ppo/Work Comp-All Other Plans	$395	444%
Consociate Care Ppo-All Plans	$404	454%
Hfn Ppo/Epo-All Plans	$404	454%
Three Rivers-All Plans	$427	480%

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 $449.
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 Warner Hospital and Health Services 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.