CMS Price Transparency Data

X-ray, chest (two views)

Facility: Claiborne Memorial Medical Center

Billing Code: 71046 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 71046
  • Insurance Median: $289
  • Cash Discount Price: $289
  • vs. Medicare Baseline: 3.25x Medicare
The contracted insurance negotiated median rate for a X-ray, chest (two views) at Claiborne Memorial Medical Center is $289. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $289. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 3.25x the Medicare baseline. Located in 620 East College Street, Homer, LA.
Cash / Self-Pay
$289

Average discount available for prompt cash payment at this facility.

Insurance Median
$289

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: $289 (325%)
Insurance Median: $289 (325%)
Cash: $289 (325% of Medicare)
Ins. Median: $289 (325% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 325% of the Medicare baseline (a markup of 225%). 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.

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
Ambetter / Centene $22 25%
Medicaid / KanCare $22 - $124 25%
Vantage Health Plan Inc $29 33%
Aetna $116 - $188 130%
Blue Cross Blue Shield $116 130%
Commercial Insurance $116 - $289 130%
Meritain Health $116 - $188 130%
Amerihealth Caritas La $124 139%
Community Health Solution $124 139%
Correctcare Intergrated $124 139%
Healthy Blue $124 139%
Humana $124 - $289 139%
Louisiana Hc Connections $124 139%
Magellan Services $124 139%
UnitedHealthcare $124 139%
Coventry Healthcare $174 196%
Geha $203 228%
Health Plus Of La $203 - $217 228%
Apwu Healthplan $217 244%
Cigna $217 244%
Great West Healthcare $217 244%
Phcs $232 261%
Ppo Plus $232 261%
Sedgwick Claims Mgmt Serv $260 292%
Workman'S Comp $260 292%
Aarp $289 325%
Accordia National $289 325%
Aflac $289 325%
Alameda Alliance Forhealt $289 325%
American Pioneer $289 325%
Benefit Management $289 325%
Benesys Inc $289 325%
Business Guarantor $289 325%
Chubb $289 325%
Commercial Sr. Care $289 325%
Employee Benefit Services $289 325%
Family Life Insurance Co $289 325%
Farm Bureau Insurance $289 325%
Fiserv Health Benefit $289 325%
Gmp $289 325%
Group And Pension Admin $289 325%
Group Resources $289 325%
Haik Minvielle And Grubbs $289 325%
Harrington Benefit Svs $289 325%
Health Design Plus $289 325%
Health Plan $289 325%
Healthscope Benefits $289 325%
Insurance Management Admi $289 325%
Jefferson National $289 325%
John Alden Health Ins $289 325%
John Hancock $289 325%
Liberty Mutual $289 325%
Mailhandlers Benefit Plan $289 325%
Manhattan Life Ins Co $289 325%
Mega Life And Health $289 325%
Msa Careguard $289 325%
Mutual Of Omaha $289 325%
Nalc Health Benefit Plan $289 325%
Naphcare Inc. $289 325%
New Era Life Ins Co $289 325%
Physicians Mutual $289 325%
Principal Financial Group $289 325%
Prudential Healthcare $289 325%
Self Pay $289 325%
State Farm $289 325%
State Farm Insurance $289 325%
State Mutual Insurance Co $289 325%
Sterling Investors Life $289 325%
Tower Life $289 325%
Transamerica Premier Ins $289 325%
United American $289 325%
United Comm Travelers $289 325%
United Teachers $289 325%
Usable Administrator $289 325%
Visn 16 Cfu $289 325%
Wausau Benefits $289 325%
Webtpa $289 325%
Wells Fargo $289 325%
Woodmen Of The World $289 325%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 620 East College Street, Homer, LA 71040
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals