CMS Price Transparency Data

X-ray, chest (two views)

Facility: Memorial Hospital

Billing Code: 71046 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 71046
  • Insurance Median: $395
  • Cash Discount Price: $351
  • vs. Medicare Baseline: 4.44x Medicare
The contracted insurance negotiated median rate for a X-ray, chest (two views) at Memorial Hospital is $395. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $351. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 4.44x the Medicare baseline. Located in 1454 N County Road 2050 E, Carthage, IL.
Cash / Self-Pay
$351

Average discount available for prompt cash payment at this facility.

Insurance Median
$395

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: $351 (395%)
Insurance Median: $395 (444%)
Cash: $351 (395% of Medicare)
Ins. Median: $395 (444% 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 444% of the Medicare baseline (a markup of 344%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash 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 $110 - $439 124%
Aetna $123 - $439 138%
Blue Cross Blue Shield $123 - $439 138%
Cigna $123 - $439 138%
Health Alliance $123 - $439 138%
Meridian $123 - $439 138%
Molina $123 - $439 138%
UnitedHealthcare $123 - $439 138%
Consociate $373 - $439 420%
Healthlink $373 - $439 420%
Private Healthcare Systems $373 420%
Integrated Health Plan $386 434%
First Health Network $391 - $439 440%
Health Dynamics $395 444%
Health Payors Org $395 444%
Iowa Health Solutions $395 444%
Multiplan $395 444%
Preferred Plan Inc $395 444%
Three Rivers Provider Network $395 444%
Health First Network $399 449%
Pponext $399 449%
Corvel $417 469%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1454 N County Road 2050 E, Carthage, IL 62321
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals