CMS Price Transparency Data
X-ray, chest (single view)
Facility: Mercy Hospital Lincoln
Billing Code: 71045 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 71045
- Insurance Median: $161
- Cash Discount Price: $159
- vs. Medicare Baseline: 1.81x Medicare
The contracted insurance negotiated median rate for a X-ray, chest (single view) at Mercy Hospital Lincoln is $161. 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 1.81x the Medicare baseline. Located in 1000 East Cherry Street, Troy, MO.
Cash / Self-Pay
$159
Average discount available for prompt cash payment at this facility.
Insurance Median
$161
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: $161 (181%)
Cash: $159 (179% of Medicare)
Ins. Median: $161 (181% 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 | $16 - $116 | 18% |
| Cigna | $30 - $61 | 34% |
| Aetna | $37 - $160 | 42% |
| Tricare | $52 | 58% |
| Medicare (plans) | $53 - $244 | 60% |
| UnitedHealthcare | $54 - $161 | 61% |
| American Health Advantage Of Mo Mcr [10473] | $57 | 64% |
| Blue Cross Blue Shield | $57 - $188 | 64% |
| Cherokee Nation Health Serv Contracted [320066] | $57 | 64% |
| Cross Timbers Hospice [20098] | $57 | 64% |
| Dept Of Veteran Affairs Contracted [320106] | $57 | 64% |
| Elara Caring Aspire Hospice Contracted [320433] | $57 | 64% |
| Elara Caring Aspire Hospice [20433] | $57 | 64% |
| Globalhealth Contracted [320145] | $57 | 64% |
| Halo Hcr Inc Hospice Contracted [320432] | $57 | 64% |
| Halo Hcr Inc Hospice [20432] | $57 | 64% |
| Humana | $57 - $220 | 64% |
| Indian Health Service Contracted [320198] | $57 | 64% |
| Kindful Hospice Contracted [320434] | $57 | 64% |
| Kindful Hospice [20434] | $57 | 64% |
| Mercy Hospice Okc [20252] | $57 | 64% |
| Pace Of The Ozarks Contracted [320518] | $57 | 64% |
| Provider Partners Health Plans Contracted [320450] | $57 | 64% |
| Qual Choice Contracted [320325] | $57 | 64% |
| Centivo Contracted [320505] | $89 | 100% |
| Medica Contracted [320239] | $102 | 115% |
| Ambetter / Centene | $112 | 126% |
| Home State Health Plan Contracted [320187] | $112 | 126% |
| Novasys Contracted [320285] | $112 | 126% |
| Hope Trust Contracted [320488] | $121 | 136% |
| Health Choices Contracted [320448] | $146 | 164% |
| Health Choices [20448] | $146 | 164% |
| Medical Associates Health Contracted [320444] | $146 | 164% |
| First Health Contracted [320128] | $160 | 180% |
| United Medical Resources Contracted [320454] | $161 | 181% |
| Multiplan Contracted [320270] | $183 | 206% |
| Workers Comp [20426] | $183 - $195 | 206% |
| Healthlink Contracted [320179] | $198 - $217 | 223% |
| Aither Health Contracted [320449] | $207 | 233% |
| Aither Health [20449] | $207 | 233% |
| Auxiant Contracted [320462] | $207 | 233% |
| Ebms Contracted [320493] | $207 | 233% |
| Edison Health Solutions Contracted [320502] | $207 | 233% |
| Federal Medical Center Contracted [320127] | $207 | 233% |
| Imagine 360 Contracted [320494] | $207 | 233% |
| Insurance System Inc Contracted [320465] | $207 | 233% |
| Mercy Benefit Admin Contracted [320251] | $207 | 233% |
| Mercy Benefit Admin [20251] | $207 | 233% |
| Point C Contracted [320238] | $207 | 233% |
| Preferred Health Plan Contracted [320522] | $207 | 233% |
| Reflect Health Contracted [320492] | $207 | 233% |
| Show-Me Health Administrators Contracted [320483] | $207 | 233% |
| Tri State Healthcare Coalition Contracted [320379] | $207 | 233% |
| Yuzu Health Contracted [320521] | $207 | 233% |