CMS Price Transparency Data

X-ray, chest (two views)

Facility: Sparrow Ionia Hospital

Billing Code: 71046 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 71046
Insurance Median: $53
Cash Discount Price: $34
vs. Medicare Baseline: 0.60x Medicare

The contracted insurance negotiated median rate for a X-ray, chest (two views) at Sparrow Ionia Hospital is $53. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $34. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 0.60x the Medicare baseline. Located in 3565 S State Road, Ionia, MI.

Cash / Self-Pay

$34

Average discount available for prompt cash payment at this facility.

Insurance Median

$53

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: $34 (38%)

Insurance Median: $53 (60%)

Cash: $34 (38% of Medicare)

Ins. Median: $53 (60% 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.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Medicaid / KanCare	$7 - $98	8%
Medicare (plans)	$10 - $50	11%
Aetna	$17 - $141	19%
Blue Cross Blue Shield	$17 - $118	19%
Covenant Advantage	$17 - $47	19%
Medigold	$17 - $47	19%
Senior Community Care	$17 - $47	19%
Humana	$18 - $152	20%
Priority	$41 - $115	46%
UnitedHealthcare	$51 - $144	57%
Cigna	$53 - $149	60%
Great West Healthcare	$53 - $149	60%
Asr	$54 - $150	61%
Blue Care Network	$54 - $150	61%
Cofinity	$54 - $152	61%
Health Alliance Plan	$54 - $150	61%
Mclaren Commercial	$60 - $168	67%
Priority Health Medihmo	$89	100%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $34.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 71046.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Sparrow Ionia Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 71046.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.