CMS Price Transparency Data
X-ray, chest (two views)
Facility: Mercy Health Saint Mary's
Billing Code: 71046 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 71046
- Insurance Median: $140
- Cash Discount Price: $159
- vs. Medicare Baseline: 1.57x Medicare
The contracted insurance negotiated median rate for a X-ray, chest (two views) at Mercy Health Saint Mary's is $140. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $159. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.57x the Medicare baseline. Located in 200 Jefferson Avenue Se, Grand Rapids, MI.
Cash / Self-Pay
$159
Average discount available for prompt cash payment at this facility.
Insurance Median
$140
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: $159 (179%)
Insurance Median: $140 (157%)
Cash: $159 (179% of Medicare)
Ins. Median: $140 (157% 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
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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 | $49 - $85 | 55% |
| Medicaid / KanCare | $49 - $50 | 55% |
| Access Health | $61 | 69% |
| Bcn Domestic | $65 | 73% |
| Blue Benefit Administrators Of Massachusetts | $65 | 73% |
| Blue Care Network | $65 | 73% |
| Blue Distinction Transplant | $65 | 73% |
| Blue Shield - Ca | $65 | 73% |
| Blue Shield - Id (Regence) | $65 | 73% |
| Blue Shield - Ny Highmark Northeastern | $65 | 73% |
| Blue Shield - Ny Highmark Western | $65 | 73% |
| Blue Shield - Pa (Highmark) | $65 | 73% |
| Blue Shield - Wa (Regence) | $65 | 73% |
| Health Choices | $65 - $186 | 73% |
| Kaiser Domestic | $65 | 73% |
| U Of M Health Plan | $74 - $186 | 83% |
| Aetna | $81 - $108 | 91% |
| Geha | $81 - $185 | 91% |
| Medical Mutual | $81 | 91% |
| Meritain | $81 | 91% |
| Preferred One | $81 | 91% |
| Priority Health | $82 - $85 | 92% |
| Blue Care Network Advantage | $85 | 96% |
| Medicare (plans) | $85 | 96% |
| Align Senior Care | $87 | 98% |
| Correctional Recovery | $87 | 98% |
| Hospice Faith | $87 | 98% |
| Hospice Of Holland | $87 | 98% |
| UnitedHealthcare | $89 - $244 | 100% |
| Longevity Ipa Of Michigan Llc Health Plan Isnp | $98 | 110% |
| Oscar | $111 | 125% |
| Molina Marketplace | $113 | 127% |
| Wc Accident Fund | $133 | 150% |
| Wc Advantage | $133 | 150% |
| Wc Aig | $133 | 150% |
| Wc Allied | $133 | 150% |
| Wc Amerisure | $133 | 150% |
| Wc Amtrust | $133 | 150% |
| Wc Asu Risk Mgt | $133 | 150% |
| Wc Berkley Admin | $133 | 150% |
| Wc Broadspire | $133 | 150% |
| Wc Bunch & Associates | $133 | 150% |
| Wc Ccmsi | $133 | 150% |
| Wc Emc Insurance Company | $133 | 150% |
| Wc Esis | $133 | 150% |
| Wc Fcci | $133 | 150% |
| Wc Federated | $133 | 150% |
| Wc Gallagher Bassett | $133 | 150% |
| Wc Genex Care For Ohio | $133 | 150% |
| Wc Guard Insurance Company | $133 | 150% |
| Wc Hartford | $133 | 150% |
| Wc Liberty Mutual | $133 | 150% |
| Wc Meijers | $133 | 150% |
| Wc Michigan | $133 | 150% |
| Wc Mitchell Frankenmuth | $133 | 150% |
| Wc Pma | $133 | 150% |
| Wc Sedgwick | $133 | 150% |
| Wc Sentry | $133 | 150% |
| Wc Travelers | $133 | 150% |
| Wc Tristar | $133 | 150% |
| Wc Walmart | $133 | 150% |
| Wc Zurich | $133 | 150% |
| Vitalcore | $134 | 151% |
| Wellpath | $134 | 151% |
| Nomi Health | $137 | 154% |
| Acs Benefit Services | $140 | 157% |
| Allied Benefit Systems | $140 | 157% |
| Claimchoice Adminstrators | $140 | 157% |
| Consociate | $140 | 157% |
| Cypress Benefit Administrators | $140 | 157% |
| Forest County Potawatomi | $140 | 157% |
| Health Smart | $140 | 157% |
| Healthgram | $140 | 157% |
| Healthscope | $140 | 157% |
| Secureone Preferred United Plans | $140 | 157% |
| Sisco Benefits | $140 | 157% |
| The Health Plan | $140 | 157% |
| Trustmark Small Business Benefits | $140 | 157% |
| Unified Group Services | $140 | 157% |
| Webtpa | $140 | 157% |
| Asr Health Benefits | $155 | 174% |
| Hap | $155 - $189 | 174% |
| Caresource | $159 | 179% |
| Varipro | $159 | 179% |
| 1199 National Benefit Fund | $178 | 200% |
| Allied National Global Care | $178 | 200% |
| Asrm - Reliance Standard Life Insurance | $178 | 200% |
| Christian Care Ministry | $178 | 200% |
| Cigna | $178 | 200% |
| Dean Health | $178 | 200% |
| Fallon Health | $178 | 200% |
| Family Life Insurance Company | $178 | 200% |
| Ghc Scw | $178 | 200% |
| Group Pension Administrators | $178 | 200% |
| International Benefit Administrators | $178 | 200% |
| Lifetime Benefit Solutions | $178 | 200% |
| Manhattan Life | $178 | 200% |
| Medi Share | $178 | 200% |
| Multiplan | $178 | 200% |
| Mvp | $178 | 200% |
| Pai | $178 | 200% |
| Pan-American Life | $178 | 200% |
| Paramount Hmo | $178 | 200% |
| Phcs | $178 | 200% |
| Trinity Health Share | $178 | 200% |
| Acclaim | $186 | 209% |
| Administrative Concepts | $186 | 209% |
| Allegeant | $186 | 209% |
| Ameriben | $186 | 209% |
| American Family | $186 | 209% |
| American Healthcare Alliance | $186 | 209% |
| American Republic | $186 | 209% |
| Amerihealth | $186 | 209% |
| Aultcare | $186 | 209% |
| Automated Benefit Services | $186 | 209% |
| Auxiant | $186 | 209% |
| Benefit Administrative Systems,Llc | $186 | 209% |
| Boon Chapman | $186 | 209% |
| Cam Administrative Services | $186 | 209% |
| Christian Brother Services | $186 | 209% |
| Christian Brothers Holy Cross | $186 | 209% |
| Comprehensive Benefits | $186 | 209% |
| Continental Life Insurance | $186 | 209% |
| Custom Benefit Administrators | $186 | 209% |
| Employee Benefit Concepts | $186 | 209% |
| Employee Benefit Management | $186 | 209% |
| Enterprise Group Planning | $186 | 209% |
| Freedom Life Insurance Company | $186 | 209% |
| Group Administrators | $186 | 209% |
| Group Marketing Services | $186 | 209% |
| Guardian | $186 | 209% |
| Health America | $186 | 209% |
| Healthez | $186 | 209% |
| Humana | $186 - $244 | 209% |
| Insight | $186 | 209% |
| Intercare | $186 | 209% |
| Jfp Benefit Management | $186 | 209% |
| Jp Farley Corporation | $186 | 209% |
| Key Benefit Administrator | $186 | 209% |
| Liberty Union Life Assurance Co | $186 | 209% |
| Lucent Health | $186 | 209% |
| Luminare Health | $186 | 209% |
| Luminare Health (Detroit) | $186 | 209% |
| Medben | $186 | 209% |
| Medcost | $186 | 209% |
| Mutual Health Services | $186 | 209% |
| Mutual Of Omaha | $186 | 209% |
| Ncas | $186 | 209% |
| Nippon Life Ins | $186 | 209% |
| Nova | $186 | 209% |
| Painters Union Insurance Fund | $186 | 209% |
| Physicians Mutual | $186 | 209% |
| Plumbers Local 98 Insurance Fund | $186 | 209% |
| Prairie States | $186 | 209% |
| Primary Physician Care | $186 | 209% |
| Professional Benefit Administrators | $186 | 209% |
| The Loomis Company | $186 | 209% |
| Unicare | $186 | 209% |
| Us Health And Life | $186 | 209% |
| Valenz | $186 | 209% |
| Western & Southern Financial Group | $186 | 209% |
| Wps | $186 | 209% |
| Coventry | $193 | 217% |
| First Health | $193 | 217% |
| Cmh Allegan County | $244 | 274% |
| Cmh Ausable Valley | $244 | 274% |
| Cmh Barry County | $244 | 274% |
| Cmh Berrien County | $244 | 274% |
| Cmh Cass County | $244 | 274% |
| Cmh Clinton-Eaton-Ingham County | $244 | 274% |
| Cmh Kalamazoo | $244 | 274% |
| Cmh Kent County | $244 | 274% |
| Cmh Lenawee County | $244 | 274% |
| Cmh Misc | $244 | 274% |
| Cmh Monroe County | $244 | 274% |
| Cmh Montcalm County | $244 | 274% |
| Cmh Muskegon County | $244 | 274% |
| Cmh Newaygo County | $244 | 274% |
| Cmh North Country | $244 | 274% |
| Cmh Northern Lakes County | $244 | 274% |
| Cmh Ottawa County | $244 | 274% |
| Cmh Van Buren County | $244 | 274% |
| Cmh West Mi County | $244 | 274% |
| Magellan Behavioral Health | $244 | 274% |