X-ray, chest (two views)
Facility: Rooks County Health Center
Billing Code: 71046 (CPT)
- CPT Billing Code: 71046
- Insurance Median: $315
- Cash Discount Price: $262
- vs. Medicare Baseline: 3.54x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. 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 354% of the Medicare baseline (a markup of 254%). 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.
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 | $151 | 170% |
| Veterans Admin - All Plans | $164 | 184% |
| Celtic Mcr Adv | $164 | 184% |
| Tricare | $164 | 184% |
| Celtic Comm - All Other Plans | $181 | 204% |
| Aetna | $315 | 354% |
| Preferred Benefits Admin | $315 | 354% |
| UnitedHealthcare | $315 | 354% |
| Preferred Hlthcare - All Other Plans | $332 | 373% |
| Health Partners - All Plans | $332 | 373% |
| Healthy Blue Mcaid - All Plans | $350 | 394% |
Consumer Guidance & Cost Commentary
For the X-ray, chest (two views) procedure at Rooks County Health Center in Plainville, KS, the facility's cash price of $262.00 is notably higher than the state average of $181.00, though it remains significantly lower than the gross charge of $350.00. While the facility is a Critical Access Hospital owned by a Government Hospital District, patients should be aware that commercial insurance negotiated rates often exceed cash prices due to administrative overhead and contract dynamics. For instance, the median negotiated rate across payers is $315.00, which is higher than the cash price, meaning patients with high-deductible plans might save money by paying the cash rate directly, provided they verify their plan's coverage limits beforehand.
The facility's pricing is also evaluated against the Medicare benchmark of $88.91, which serves as a federal cost baseline; the cash price represents a markup of 3.5 times the Medicare rate, a figure that reflects the specific cost structure of this Critical Access Hospital. Although the facility does not have a published consumer rating, the data indicates that while some payers like Blue Cross Blue Shield and Veterans Admin have a single plan rate of $151.00, others such as UnitedHealthcare and Aetna have a fixed rate of $315.00. Consumers are advised to request a "self-pay" or "prompt-pay" discount before scheduling, as paying upfront can bypass costly claims processing and potentially lower the final bill, while also ensuring they do not inadvertently trigger balance billing by allowing automatic insurance submission without a waiver.