CMS Price Transparency Data

X-ray, chest (single view)

Facility: Mercy Hospital South

Billing Code: 71045 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 71045
  • Insurance Median: $121
  • Cash Discount Price: $183
  • vs. Medicare Baseline: 1.36x Medicare
The contracted insurance negotiated median rate for a X-ray, chest (single view) at Mercy Hospital South is $121. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $183. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.36x the Medicare baseline. Located in 10010 Kennerly Road, Saint Louis, MO.
Cash / Self-Pay
$183

Average discount available for prompt cash payment at this facility.

Insurance Median
$121

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: $183 (206%)
Insurance Median: $121 (136%)
Cash: $183 (206% of Medicare)
Ins. Median: $121 (136% 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
Medicaid / KanCare $18 - $124 20%
Blue Cross Blue Shield $26 - $253 29%
Cigna $29 - $126 33%
Aetna $42 - $104 47%
Medica Contracted [320239] $73 82%
Ambetter / Centene $76 85%
Home State Health Plan Contracted [320187] $76 85%
Novasys Contracted [320285] $76 85%
American Health Advantage Of Mo Mcr [10473] $82 92%
Cherokee Nation Health Serv Contracted [320066] $82 92%
Cross Timbers Hospice [20098] $82 92%
Dept Of Veteran Affairs Contracted [320106] $82 92%
Elara Caring Aspire Hospice Contracted [320433] $82 92%
Elara Caring Aspire Hospice [20433] $82 92%
Globalhealth Contracted [320145] $82 92%
Halo Hcr Inc Hospice Contracted [320432] $82 92%
Halo Hcr Inc Hospice [20432] $82 92%
Humana $82 - $202 92%
Kindful Hospice Contracted [320434] $82 92%
Kindful Hospice [20434] $82 92%
Medicare (plans) $82 - $281 92%
Mercy Hospice Okc [20252] $82 92%
Pace Of The Ozarks Contracted [320518] $82 92%
Qual Choice Contracted [320325] $82 92%
Tricare $82 92%
UnitedHealthcare $82 - $113 92%
Hope Trust Contracted [320488] $83 93%
Provider Partners Health Plans Contracted [320450] $90 101%
St Johns Mercy Rehab Llc Contracted [320359] $90 101%
United Medical Resources Contracted [320454] $113 127%
Aither Health Contracted [320449] $121 136%
Aither Health [20449] $121 136%
Auxiant Contracted [320462] $121 136%
Ebms Contracted [320493] $121 136%
Edison Health Solutions Contracted [320502] $121 136%
Healthlink Contracted [320179] $121 - $201 136%
Imagine 360 Contracted [320494] $121 136%
Mercy Benefit Admin Contracted [320251] $121 - $126 136%
Mercy Benefit Admin [20251] $121 - $126 136%
Reflect Health Contracted [320492] $121 136%
Show-Me Health Administrators Contracted [320483] $121 136%
Yuzu Health Contracted [320521] $121 136%
Centivo Contracted [320505] $138 155%
Preferred Health Plan Contracted [320522] $146 164%
Health Choices Contracted [320448] $169 190%
Health Choices [20448] $169 190%
Medical Associates Health Contracted [320444] $169 190%
Federal Medical Center Contracted [320127] $183 206%
Insurance System Inc Contracted [320465] $183 206%
Point C Contracted [320238] $183 206%
Tri State Healthcare Coalition Contracted [320379] $183 206%
First Health Contracted [320128] $200 - $202 225%
Multiplan Contracted [320270] $211 237%
Workers Comp [20426] $211 - $225 237%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 10010 Kennerly Road, Saint Louis, MO 63128
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals