CMS Price Transparency Data
X-ray, chest (two views)
Facility: Mercy Hospital Springfield
Billing Code: 71046 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 71046
- Insurance Median: $222
- Cash Discount Price: $361
- vs. Medicare Baseline: 2.50x Medicare
The contracted insurance negotiated median rate for a X-ray, chest (two views) at Mercy Hospital Springfield is $222. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $361. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 2.50x the Medicare baseline. Located in 2115 S. Fremont Ave, Springfield, MO.
Cash / Self-Pay
$361
Average discount available for prompt cash payment at this facility.
Insurance Median
$222
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: $361 (406%)
Insurance Median: $222 (250%)
Cash: $361 (406% of Medicare)
Ins. Median: $222 (250% 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 250% of the Medicare baseline (a markup of 150%). 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 |
|---|---|---|
| Aetna | $19 - $278 | 21% |
| Blue Cross Blue Shield | $19 - $425 | 21% |
| Humana | $19 - $378 | 21% |
| Medicaid / KanCare | $19 - $113 | 21% |
| Ambetter / Centene | $61 | 69% |
| Home State Health Plan Contracted [320187] | $61 | 69% |
| Novasys Contracted [320285] | $61 | 69% |
| Centurion Of Missouri [20459] | $78 | 88% |
| Champva [20065] | $78 | 88% |
| Cherokee Nation Health Serv Contracted [320066] | $78 | 88% |
| Cigna | $78 - $428 | 88% |
| Cross Timbers Hospice [20098] | $78 | 88% |
| Dept Of Veteran Affairs Contracted [320106] | $78 | 88% |
| Elara Caring Aspire Hospice [20433] | $78 | 88% |
| Globalhealth Contracted [320145] | $78 | 88% |
| Halo Hcr Inc Hospice Contracted [320432] | $78 | 88% |
| Halo Hcr Inc Hospice [20432] | $78 | 88% |
| Indian Health Service Contracted [320198] | $78 | 88% |
| Indian Health Service [20198] | $78 | 88% |
| Kindful Hospice Contracted [320434] | $78 | 88% |
| Kindful Hospice [20434] | $78 | 88% |
| Medicare (plans) | $78 - $82 | 88% |
| Mercy Hospice Okc [20252] | $78 | 88% |
| Mercy Mgd Behavioral Health Contracted [320259] | $78 | 88% |
| Mercy Rehab Hospital Contracted [320260] | $78 | 88% |
| Pace Of The Ozarks Contracted [320518] | $78 | 88% |
| Qual Choice Contracted [320325] | $78 | 88% |
| Tricare | $78 | 88% |
| UnitedHealthcare | $78 - $428 | 88% |
| Provider Partners Health Plans Contracted [320450] | $86 | 97% |
| Point C Contracted [320238] | $88 - $417 | 99% |
| Healthscope Contracted [320182] | $100 | 112% |
| Centivo Contracted [320505] | $132 | 148% |
| Healthlink Contracted [320179] | $132 - $317 | 148% |
| Providrs Care Network Contracted [320484] | $163 | 183% |
| United Medical Resources Contracted [320454] | $182 - $289 | 205% |
| Medica Contracted [320239] | $220 | 247% |
| Medica [20239] | $220 | 247% |
| Benefit Management Contracted [320052] | $222 | 250% |
| Health Systems Inc Contracted [320174] | $222 | 250% |
| Insurance System Inc Contracted [320465] | $222 | 250% |
| Administrative Payor Contracted [320005] | $250 - $278 | 281% |
| Evolutions Health Care Contracted [320124] | $250 | 281% |
| Point C [20238] | $250 | 281% |
| Medical Destinations Contracted [320242] | $278 | 313% |
| Mercy Benefit Admin Contracted [320251] | $278 - $334 | 313% |
| Workers Comp [20426] | $278 - $473 | 313% |
| First Health Contracted [320128] | $311 | 350% |
| Aither Health Contracted [320449] | $317 | 357% |
| Auxiant Contracted [320462] | $317 - $361 | 357% |
| Ebms Contracted [320493] | $317 | 357% |
| Edison Health Solutions Contracted [320502] | $317 | 357% |
| Imagine 360 Contracted [320494] | $317 | 357% |
| Reflect Health Contracted [320492] | $317 | 357% |
| Yuzu Health Contracted [320521] | $317 | 357% |
| 90 Degree Benefits Contracted [320436] | $334 | 376% |
| Federal Medical Center Contracted [320127] | $334 | 376% |
| Show-Me Health Administrators Contracted [320483] | $334 | 376% |
| Multiplan Contracted [320270] | $428 | 481% |
| Private Health Care Systems Contracted [320320] | $428 | 481% |
| Compcare Of The Ozarks Contracted [320437] | $439 | 494% |
| American Healthcare Alliance Contracted [320020] | $445 | 501% |
| Qual Choice Contracted [320324] | $445 | 501% |
| Municipal Health Plan Contracted [320271] | $450 | 506% |
| Usa Managed Care Org Contracted [320429] | $489 | 550% |
| Ppo Plus Contracted [320310] | $500 | 562% |