CMS Price Transparency Data

X-ray, chest (two views)

Facility: Missouri Baptist Sullivan Hospital

Billing Code: 71046 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 71046
  • Insurance Median: $358
  • Cash Discount Price: $331
  • vs. Medicare Baseline: 4.03x Medicare
The contracted insurance negotiated median rate for a X-ray, chest (two views) at Missouri Baptist Sullivan Hospital is $358. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $331. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 4.03x the Medicare baseline. Located in 751 Sappington Bridge Rd, Sullivan, MO.
Cash / Self-Pay
$331

Average discount available for prompt cash payment at this facility.

Insurance Median
$358

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: $331 (372%)
Insurance Median: $358 (403%)
Cash: $331 (372% of Medicare)
Ins. Median: $358 (403% 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 403% of the Medicare baseline (a markup of 303%). 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
Blue Cross Blue Shield $42 - $479 47%
Consociate [478] $56 63%
Sarah Bush Lincoln [636] $56 63%
Cigna $75 - $441 84%
Aetna $121 - $413 136%
Essence Healthcare [221] $121 136%
Humana $122 - $366 137%
UnitedHealthcare $123 - $449 138%
Cox Health [757] $127 143%
Medica [662] $130 146%
Devoted Health Plan [847] $133 150%
Healthlink [225] $267 - $416 300%
Cox Health Systems Insurance Company [220] $303 - $358 341%
Health Alliance [224] $303 341%
Allied Benefits [498] $320 - $409 360%
Hope Trust [806] $320 360%
Coresource [497] $332 373%
Fmh Benefit Service Inc [222] $332 373%
Mail Handlers [495] $332 373%
Healthscope Benefits [258] $358 - $449 403%
Med-Pay [480] $358 - $413 403%
Unicare [568] $358 - $416 403%
Apwu Health Plan [216] $379 426%
Nalc Health Benefit Plan [242] $379 426%
Priority Health [648] $379 426%
First Health Commercial [734] $409 460%
Beechstreet [551] $413 465%
Detego Health [868] $413 465%
Health Systems Inc [620] $413 465%
Healthcare Sol Mercy [609] $413 465%
Multiplan Commercial [737] $413 465%
Multiplan [240] $413 465%
Phcs [244] $413 - $441 465%
Preferred Health Professionals [561] $416 468%
Hfn [563] $441 496%
Medica [661] $441 496%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 751 Sappington Bridge Rd, Sullivan, MO 63080
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals