CMS Price Transparency Data

X-ray, chest (two views)

Facility: Girard Medical Center

Billing Code: 71046 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 71046
  • Insurance Median: $131
  • Cash Discount Price: $225
  • vs. Medicare Baseline: 1.47x Medicare
The contracted insurance negotiated median rate for a X-ray, chest (two views) at Girard Medical Center is $131. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $225. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.47x the Medicare baseline. Located in 302 North Hospital Drive, Girard, KS.
Cash / Self-Pay
$225

Average discount available for prompt cash payment at this facility.

Insurance Median
$131

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: $225 (253%)
Insurance Median: $131 (147%)
Cash: $225 (253% of Medicare)
Ins. Median: $131 (147% 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
Kansas Superior Select-All Plans $131 147%
Aetna $131 - $656 147%
Blue Cross Blue Shield $131 - $151 147%
UnitedHealthcare $131 - $356 147%
Humana $131 147%
Ambetter / Centene $131 147%
Medicare (plans) $131 147%
Multiplan-All Plans $347 390%
Uhhis-All Plans $356 400%

Consumer Guidance & Cost Commentary

For the CPT code 71046, "X-ray, chest (two views)," at Girard Medical Center in Girard, KS, the facility's cash median rate is $225.00, which is higher than the state average of $131.00. While the facility is a Critical Access Hospital owned by a Government Hospital District, its commercial negotiated rates range from $131.00 to $656.00 depending on the payer, with most major insurers like Aetna, Blue Cross Blue Shield, and UnitedHealthcare settling at $131.00. This suggests that for patients with high-deductible plans or those without insurance, paying the cash price of $225.00 may not be the most economical option, as many in-network negotiated rates are significantly lower. However, because the cash price exceeds the median negotiated amount, patients should verify their specific plan's allowed amount before scheduling to ensure they are not paying more than necessary.

To avoid unexpected costs, patients should request a prompt-pay discount if they choose to pay out-of-pocket, as hospitals often offer reductions for upfront payments to bypass administrative processing fees. Additionally, since over 80% of hospital bills contain errors, it is advisable to request a full itemized billing audit rather than accepting a summary bill, which can obscure unbundled charges or services not rendered. If a patient receives a balance bill from an out-of-network provider at this in-network facility, they may be protected under the No Surprises Act, which bans balance billing for emergency and non-emergency services; in such cases, patients should dispute the bill in writing with the insurer rather than paying

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 302 North Hospital Drive, Girard, KS 66743
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Critical Access Hospitals