CMS Price Transparency Data

X-ray, chest (two views)

Facility: Menorah Medical Center

Billing Code: 71046 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 71046
  • Insurance Median: $283
  • Cash Discount Price: $1,508
  • vs. Medicare Baseline: 3.18x Medicare
The contracted insurance negotiated median rate for a X-ray, chest (two views) at Menorah Medical Center is $283. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,508. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 3.18x the Medicare baseline. Located in 5721 West 119Th Street, Overland Park, KS.
Cash / Self-Pay
$1,508

Average discount available for prompt cash payment at this facility.

Insurance Median
$283

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: $1,508 (1696%)
Insurance Median: $283 (318%)
Cash: $1,508 (1696% of Medicare)
Ins. Median: $283 (318% 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 318% of the Medicare baseline (a markup of 218%). 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
Multiplan $25 - $1,116 28%
Corvel Corporation $30 - $980 34%
Oha Network $31 - $754 35%
Aetna $33 - $769 37%
Blue Cross Blue Shield $46 - $679 52%
Amerigroup $49 55%
United $49 - $679 55%
Medicaid / KanCare $50 56%
Healthyblue $50 56%
Unicare $51 57%
Home State Health Plan $79 89%
Cigna $101 - $1,206 114%
Ambetter / Centene $280 315%
Nhc Advantage $287 323%
Wppa Providrs Care Network $302 340%
Humana $318 - $400 358%
Universal Healthcare $528 594%
Coventry $606 682%
Coventry Kc Mo $618 695%
College Park Family Care Center $648 729%
Triwest Health Alliance $1,131 1272%
Cco, Inc. $1,131 1272%
Focus Healthcare Mgmt, Inc $1,131 1272%

Consumer Guidance & Cost Commentary

For the CPT code 71046 (X-ray, chest, two views) at Menorah Medical Center in Overland Park, KS, the cash price is $1,508.00, which matches the facility's cash median. This cash rate is significantly higher than the Medicare benchmark of $88.91, reflecting a markup common in commercial healthcare. While the facility's negotiated rates with insurance payers range from $25 to $1,131, many of these amounts remain well below the cash price, suggesting that for patients with high-deductible plans, paying the cash rate directly might be more cost-effective than relying on insurance, which could result in balance billing if the provider is out-of-network. However, patients should be aware that the No Surprises Act protects against balance billing for emergency services and non-emergency services from out-of-network providers at in-network facilities, and they should verify their specific plan's network status before scheduling.

To minimize costs, patients should proactively contact the hospital to inquire about "self-pay" or "prompt-pay" discounts, which can reduce the bill by 20% to 50% if paid in full upfront. It is also critical to request a detailed, itemized billing audit rather than accepting a summary bill, as over 80% of hospital bills contain errors such as unbundled codes or charges for services not rendered. By comparing the facility's rates against the Medicare benchmark and seeking written confirmation of any discounts or audit results, patients can avoid unexpected financial burdens and ensure they are only paying for services actually received.

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 5721 West 119Th Street, Overland Park, KS 66209
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals