CMS Price Transparency Data

X-ray, chest (two views)

Facility: Kansas Spine & Specialty Hospital, Llc

Billing Code: 71046 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 71046
  • Insurance Median: $80
  • Cash Discount Price: $239
  • vs. Medicare Baseline: 0.90x Medicare
The contracted insurance negotiated median rate for a X-ray, chest (two views) at Kansas Spine & Specialty Hospital, Llc is $80. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $239. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 0.90x the Medicare baseline. Located in 3333 North Webb Road, Wichita, KS.
Cash / Self-Pay
$239

Average discount available for prompt cash payment at this facility.

Insurance Median
$80

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: $239 (269%)
Insurance Median: $80 (90%)
Cash: $239 (269% of Medicare)
Ins. Median: $80 (90% 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
Humana $78 88%
UnitedHealthcare $80 - $97 90%
Providrs Care Network $80 90%
Blue Cross Blue Shield $80 - $113 90%
Aetna $80 - $100 90%
United Mine Workers Of America $80 90%
Lantern Specialty Care $128 144%

Consumer Guidance & Cost Commentary

For the CPT code 71046, representing a chest X-ray with two views, the Kansas Spine & Specialty Hospital, Llc in Wichita, KS, lists a gross charge of $368.00. While the facility's cash median price is $239.00, commercial insurance negotiated rates vary significantly by payer, ranging from $78.00 with Humana to $128.00 with Lantern Specialty Care. It is important to note that these negotiated rates often exceed the cash price due to administrative costs and contract structures; therefore, patients with high-deductible plans may find paying the cash median of $239.00 more cost-effective than relying on insurance, which could result in higher out-of-pocket costs if the deductible is not yet met.

To ensure you are not overcharged, it is advisable to request a full itemized billing audit before finalizing payment, as over 80% of hospital bills contain errors such as unbundled codes or services not rendered. Additionally, you should explicitly ask the hospital about "self-pay" or "prompt-pay" discounts, which can reduce the total bill by 20% to 50% if paid upfront, bypassing the costly claims processing cycle. When evaluating the facility's pricing, compare the negotiated rates against the Medicare benchmark of $88.91; commercial rates are often marked up significantly above this federal baseline, so focusing on the Medicare amount rather than the inflated chargemaster list provides a more accurate view of the facility's true cost.

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3333 North Webb Road, Wichita, KS 67226
  • CMS Rating: No CMS Rating
  • Ownership Type: Physician
  • Hospital Type: Acute Care Hospitals