CMS Price Transparency Data

X-ray, chest (two views)

Facility: Woodlawn Hospital

Billing Code: 71046 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 71046
  • Insurance Median: $103
  • Cash Discount Price: $341
  • vs. Medicare Baseline: 1.16x Medicare
The contracted insurance negotiated median rate for a X-ray, chest (two views) at Woodlawn Hospital is $103. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $341. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.16x the Medicare baseline. Located in 1400 E 9Th St, Rochester, IN.
Cash / Self-Pay
$341

Average discount available for prompt cash payment at this facility.

Insurance Median
$103

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: $341 (384%)
Insurance Median: $103 (116%)
Cash: $341 (384% of Medicare)
Ins. Median: $103 (116% 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.

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 $62 - $365 70%
Caresource Mcaid Hww $62 70%
Mdwise Excel Hhw & Hcc $62 70%
Mhs Mcaid Hcc $62 70%
Mhs Mcaid Hhw $62 70%
UnitedHealthcare $62 - $346 70%
Aetna $100 - $432 112%
Caresource Mcaid Hip $100 112%
Caresource Mcr Adv $100 112%
Humana $100 - $353 112%
Mdwise Mcaid Excel Hip $100 112%
Mhs Exch Mrktplce-All Other Plans $100 112%
Mhs Mcaid Hip $100 112%
Mhs Mcr Adv $102 115%
Caresource Exch - All Other Plans $130 146%
Ambetter / Centene $133 150%
Partners Direct Health-All Plans $309 348%
Cigna $326 - $387 367%
Parkview Health Plans-All Plans $341 384%
Sagamore All Other Grps - All Other Plans $382 430%
Encore Comm-All Plans $387 435%
Phcs/Multiplan-All Plans $423 476%
Community Health Alliance-All Plans $432 486%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1400 E 9Th St, Rochester, IN 46975
  • CMS Rating: ★★★☆☆
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals