CMS Price Transparency Data

X-ray, chest (two views)

Facility: Mercy Hospital Lincoln

Billing Code: 71046 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 71046
  • Insurance Median: $179
  • Cash Discount Price: $176
  • vs. Medicare Baseline: 2.01x Medicare
The contracted insurance negotiated median rate for a X-ray, chest (two views) at Mercy Hospital Lincoln is $179. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $176. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 2.01x the Medicare baseline. Located in 1000 East Cherry Street, Troy, MO.
Cash / Self-Pay
$176

Average discount available for prompt cash payment at this facility.

Insurance Median
$179

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: $176 (198%)
Insurance Median: $179 (201%)
Cash: $176 (198% of Medicare)
Ins. Median: $179 (201% 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 201% of the Medicare baseline (a markup of 101%). 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
Medicaid / KanCare $18 - $124 20%
Cigna $40 - $68 45%
Aetna $41 - $178 46%
Medicare (plans) $58 - $271 65%
Tricare $58 65%
UnitedHealthcare $60 - $179 67%
Provider Partners Health Plans Contracted [320450] $63 71%
American Health Advantage Of Mo Mcr [10473] $64 72%
Blue Cross Blue Shield $64 - $209 72%
Cherokee Nation Health Serv Contracted [320066] $64 72%
Cross Timbers Hospice [20098] $64 72%
Dept Of Veteran Affairs Contracted [320106] $64 72%
Elara Caring Aspire Hospice Contracted [320433] $64 72%
Elara Caring Aspire Hospice [20433] $64 72%
Globalhealth Contracted [320145] $64 72%
Halo Hcr Inc Hospice Contracted [320432] $64 72%
Halo Hcr Inc Hospice [20432] $64 72%
Humana $64 - $244 72%
Indian Health Service Contracted [320198] $64 72%
Kindful Hospice Contracted [320434] $64 72%
Kindful Hospice [20434] $64 72%
Mercy Hospice Okc [20252] $64 72%
Pace Of The Ozarks Contracted [320518] $64 72%
Qual Choice Contracted [320325] $64 72%
Centivo Contracted [320505] $98 110%
Medica Contracted [320239] $114 128%
Ambetter / Centene $124 139%
Home State Health Plan Contracted [320187] $124 139%
Novasys Contracted [320285] $124 139%
Hope Trust Contracted [320488] $134 151%
Health Choices Contracted [320448] $163 183%
Health Choices [20448] $163 183%
Medical Associates Health Contracted [320444] $163 183%
First Health Contracted [320128] $178 200%
United Medical Resources Contracted [320454] $179 201%
Multiplan Contracted [320270] $203 228%
Workers Comp [20426] $203 - $217 228%
Healthlink Contracted [320179] $220 - $241 247%
Aither Health Contracted [320449] $230 259%
Aither Health [20449] $230 259%
Auxiant Contracted [320462] $230 259%
Ebms Contracted [320493] $230 259%
Edison Health Solutions Contracted [320502] $230 259%
Federal Medical Center Contracted [320127] $230 259%
Imagine 360 Contracted [320494] $230 259%
Insurance System Inc Contracted [320465] $230 259%
Mercy Benefit Admin Contracted [320251] $230 259%
Mercy Benefit Admin [20251] $230 259%
Point C Contracted [320238] $230 259%
Preferred Health Plan Contracted [320522] $230 259%
Reflect Health Contracted [320492] $230 259%
Show-Me Health Administrators Contracted [320483] $230 259%
Tri State Healthcare Coalition Contracted [320379] $230 259%
Yuzu Health Contracted [320521] $230 259%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1000 East Cherry Street, Troy, MO 63379
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals