X-ray, chest (two views)
Facility: Satanta District Hospital, Clinics, & Ltcu
Billing Code: 71046 (CPT)
- CPT Billing Code: 71046
- Insurance Median: $184
- Cash Discount Price: $230
- vs. Medicare Baseline: 2.07x 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 207% of the Medicare baseline (a markup of 107%). 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 |
|---|---|---|
| Direct Benefit-All Plans | $61 | 69% |
| UnitedHealthcare | $74 - $256 | 83% |
| Berkley Net-All Plans | $102 | 115% |
| Aetna | $113 - $174 | 127% |
| Trustmark Health Benefits-All Plans | $113 | 127% |
| Meritain Health-All Plans | $115 | 129% |
| Ambetter / Centene | $123 | 138% |
| Axa Equitable - All Plans | $141 | 159% |
| Pinnacol-All Plans | $143 | 161% |
| Medi-Share-All Plans | $146 | 164% |
| Presbyterian-All Plans | $156 | 175% |
| Kasb Work Comp - All Plans | $164 | 184% |
| The Kempton Group Admin-All Plans | $177 | 199% |
| Gpha(Wppa)-All Other Plans | $179 | 201% |
| Auxiant - All Plans | $179 | 201% |
| Wppa- All Plans | $182 | 205% |
| Providers Care Network- All Plans | $184 | 207% |
| Emc-All Plans | $184 | 207% |
| Sisco-All Plans | $184 | 207% |
| Gpha Employee Benefit Plan | $187 | 210% |
| Employee Benefit-All Plans | $192 | 216% |
| Regional Care(Wppa)-All Plans | $192 | 216% |
| First Health -All Plans | $195 | 219% |
| Triangle-All Plans | $195 | 219% |
| One Call Physician-All Plans | $197 | 222% |
| Blue Cross Blue Shield | $202 | 227% |
| Christian Hospital Aid - All Plans | $205 | 231% |
| Tricare | $205 | 231% |
| Humana | $220 | 247% |
| Luminare Health- All Plans | $225 | 253% |
| Cigna | $225 | 253% |
| Coresource-All Plans | $230 | 259% |
| Deseret Mutual(Uhis)-All Plans | $230 | 259% |
| Vaccn-All Plans | $236 | 265% |
| Wps Vapc-All Plans | $243 | 273% |
| Hma Llc-All Plans | $243 | 273% |
| Reserve National-All Plans | $243 | 273% |
| Medicaid / KanCare | $256 | 288% |
Consumer Guidance & Cost Commentary
For the CPT code 71046, representing a chest X-ray with two views, the facility's cash payment rate of $230.00 is notably lower than the median negotiated rate of $184.00 paid by most insurance plans, including UnitedHealthcare and Aetna. This pricing structure highlights a common billing dynamic where commercial insurance contracts often result in higher out-of-pocket costs for patients compared to self-pay options, particularly for those with high-deductible plans. While the facility is a Critical Access Hospital in Satanta, Kansas, with a gross charge of $256.00, patients can potentially save money by paying directly, provided they confirm the availability of prompt-pay discounts before scheduling their appointment.
The facility's negotiated rates range from $61 to $256 across 38 different payers, with the lowest allowed amount being $61 for Direct Benefit-All Plans and the highest at $256, which matches the gross charge. When comparing these commercial rates to the Medicare benchmark of $88.91, the facility's cash price represents a significant markup, yet it remains competitive against many commercial contracts that exceed $180.00. To ensure you receive the most accurate pricing, it is essential to verify your specific plan's allowed amount and ask the billing department about any self-pay or prompt-pay reductions, as these upfront incentives can bypass the administrative costs associated with insurance claims processing.