CMS Price Transparency Data

X-ray, chest (two views)

Facility: Kosciusko Community Hospital

Billing Code: 71046 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 71046
  • Insurance Median: $191
  • Cash Discount Price: $109
  • vs. Medicare Baseline: 2.15x Medicare
The contracted insurance negotiated median rate for a X-ray, chest (two views) at Kosciusko Community Hospital is $191. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $109. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 2.15x the Medicare baseline. Located in 2101 E Dubois Dr, Warsaw, IN.
Cash / Self-Pay
$109

Average discount available for prompt cash payment at this facility.

Insurance Median
$191

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: $109 (123%)
Insurance Median: $191 (215%)
Cash: $109 (123% of Medicare)
Ins. Median: $191 (215% 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 215% of the Medicare baseline (a markup of 115%). 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
Amish Aid $8 - $137 9%
Self Pay $8 - $255 9%
Lutheran Preferred Network $13 - $523 15%
Php Freedom Network $15 - $253 17%
Physicians Health Plan $15 - $301 17%
Aetna $16 - $348 18%
Encore $16 - $262 18%
UnitedHealthcare $16 - $344 18%
Connecticut General Life Insurance Company $24 - $385 27%
Cigna $25 - $413 28%
First Health Network $30 - $490 34%
Prime Health Services $30 - $490 34%
One Call Care Diagnostics Wc $31 35%
Advantage Health $33 - $543 37%
Private Healthcare Systems $34 - $562 38%
Sagamore $35 - $615 39%
Encore Health Network $37 - $608 42%
Veterans Eval Services $40 - $81 45%
Tricare $87 98%
Department Of Veterans Affairs $92 103%
Blue Cross Blue Shield $97 - $378 109%
Humana $97 - $242 109%
Medicare (plans) $97 109%
Mhs $97 - $242 109%
Iu Health $99 111%
Node Devoted Health Mcr Adv $99 111%
Node Non Par Hospice Agree $99 111%
Node Va $99 111%
In Dept Of Correction $103 116%
Node Pphp Mcr Adv $104 117%
Us Department Of Labor $123 138%
Lutheran Advanced Network $148 166%
Lutheran Preferred $148 - $197 166%
Align In Work Comp $158 178%
One Call Work Comp $158 178%
Trma Inc $171 - $180 192%
Encore Work Comp In $178 200%
Caresource $186 - $242 209%
Managed Health Services Exchange $197 222%
Workers Comp $197 222%
Encore Kba Epo $237 267%
Managed Health Services $242 272%
Medicaid / KanCare $242 272%
Encore Kba Ppo $296 333%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2101 E Dubois Dr, Warsaw, IN 46580
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals