CMS Price Transparency Data

X-ray, chest (two views)

Facility: Graham County Hospital

Billing Code: 71046 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 71046
  • Insurance Median: $162
  • Cash Discount Price: $202
  • vs. Medicare Baseline: 1.82x Medicare
The contracted insurance negotiated median rate for a X-ray, chest (two views) at Graham County Hospital is $162. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $202. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.82x the Medicare baseline. Located in 304 West Prout Street, Hill City, KS.
Cash / Self-Pay
$202

Average discount available for prompt cash payment at this facility.

Insurance Median
$162

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: $202 (227%)
Insurance Median: $162 (182%)
Cash: $202 (227% of Medicare)
Ins. Median: $162 (182% 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
UnitedHealthcare $40 - $192 45%
Medicaid / KanCare $40 45%
Medicare (plans) $152 171%
Celtic Commercial-All Other Plans $167 188%
Wppa (Providers Care)-All Plans $192 216%

Consumer Guidance & Cost Commentary

For the X-ray, chest (two views) procedure at Graham County Hospital in Hill City, KS, the cash price is $202.00, which aligns exactly with the facility's median negotiated rate of $167.00 and the cash median of $202.00. This service is priced at 1.8 times the Medicare benchmark of $88.91, reflecting a markup typical for commercial insurance contracts. While the facility is a Critical Access Hospital owned by the local government, patients should note that commercial payers like UnitedHealthcare and Medicaid/KanCare have negotiated rates ranging from $40 to $192, with the highest allowed amount being $192.00. Because commercial negotiated rates often include administrative overhead and contract premiums, the cash price can sometimes be lower than what a patient with a high deductible would pay if their insurance allowed the full negotiated amount.

To minimize costs, patients are encouraged to verify their specific plan's allowed amount before scheduling, as in-network rates vary significantly even within the same facility. If your insurance plan has not yet met your deductible, you may be responsible for paying the full negotiated rate rather than the cash price. Additionally, since this is a government-owned facility, you should explicitly ask the billing department about "self-pay" or "prompt-pay" discounts, which can reduce the bill by 20% to 50% if paid upfront. Avoid relying on summary bills that only show broad categories; instead, request a detailed itemized statement to ensure no unbundled codes or services not rendered are included. Finally, always compare the facility's rates against the state and county averages to confirm you are receiving fair

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 304 West Prout Street, Hill City, KS 67642
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals