CMS Price Transparency Data

X-ray, chest (single view)

Facility: Mercy Rehabilitation Hospital Springfield

Billing Code: 71045 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 71045
  • Insurance Median: $176
  • Cash Discount Price: $205
  • vs. Medicare Baseline: 1.98x Medicare
The contracted insurance negotiated median rate for a X-ray, chest (single view) at Mercy Rehabilitation Hospital Springfield is $176. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $205. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.98x the Medicare baseline. Located in 5904 S Southwood Rd, Springfield, MO.
Cash / Self-Pay
$205

Average discount available for prompt cash payment at this facility.

Insurance Median
$176

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: $205 (231%)
Insurance Median: $176 (198%)
Cash: $205 (231% of Medicare)
Ins. Median: $176 (198% 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
Aetna $106 - $234 119%
Blue Preferred $128 - $169 144%
Firsthealth Network $129 - $171 145%
Blue Cross Blue Shield $134 - $234 151%
Healthlink Workcomp $150 - $199 169%
Allwell From Home State Health $176 - $234 198%
Allyalign Health (Nhc Advantage) $176 - $234 198%
Ambetter / Centene $176 - $234 198%
Architectural Systems, Inc. (Asi) $176 - $234 198%
Ava R1 School District (Smbc) $176 - $234 198%
Bakersfield School District (Smbc) $176 - $234 198%
Blue Access $176 - $234 198%
Bolivar School (Smbc) $176 - $234 198%
Buchheit $176 - $234 198%
Cardinal Scale (Tri State Healthcare Coalition) $176 - $234 198%
Carthage R-9 School District (Tri-State Healthcare Coalition) $176 - $234 198%
Cigna $176 - $234 198%
City Of Springfield $176 - $234 198%
City Of Webb City (Tri State Healthcare Coalition) $176 - $234 198%
Devoted Healthcare $176 - $234 198%
Diversified Plastics $176 - $234 198%
Dora School District (Smbc) $176 - $234 198%
Easter Seals Midwest $176 - $234 198%
Employers Benefit Alliance $176 - $234 198%
Essence $176 - $234 198%
Evolutions $176 - $234 198%
Fabick Cat $176 - $234 198%
Fair Grove School District (Smbc) $176 - $234 198%
Health Net Federal Services $176 - $234 198%
Health Systems, Inc. $176 - $234 198%
Healthlink Hmo $176 - $234 198%
Healthlink Ppo $176 - $234 198%
Heart Of America (Tri State Healthcare Coalition &Amp;#8211; Med Pay) $176 - $234 198%
Hickory County Skyline School District (Smbc) $176 - $234 198%
Home State Health Plan, Inc. $176 - $234 198%
Humana $176 - $234 198%
J And M Farms, Inc. (Tri-State Healthcare Coalition) $176 - $234 198%
Jayhawk Fine Chemicals/Evonic(Tri State Healthcare Coalition) $176 - $234 198%
Laclede County School District Conway (Smbc) $176 - $234 198%
Lebanon School District (Smbc) $176 - $234 198%
Liberty Utilities (Empire District Electric) $176 - $234 198%
Marshfield School District (Smbc) $176 - $234 198%
Medica $176 - $234 198%
Medicaid / KanCare $176 - $234 198%
Mercy Charity Contract $176 - $234 198%
Mers Goodwill $176 - $234 198%
Missouri State University $176 - $234 198%
Mount Vernon School District (Smbc) $176 - $234 198%
Mountain Grove R-111 School District (Smbc) $176 - $234 198%
Mountain View School District (Smbc) $176 - $234 198%
Multiplan/Phcs/Beech Street $176 - $234 198%
Ozarks Community Hospital $176 - $234 198%
Pathway/Pathway X $176 - $234 198%
Phcs Savility $176 - $234 198%
Quality Collisson Group $176 - $234 198%
Quiktrip Corporation $176 - $234 198%
Richards R-V School District (Smbc) $176 - $234 198%
Roper Automotive Group (Tri State Healthcare Coalition) $176 - $234 198%
S And H Farm Supply $176 - $234 198%
Schreiber Foods $176 - $234 198%
Shinesolar $176 - $234 198%
Springfield Public Schools $176 - $234 198%
Springfield Remanufacturing $176 - $234 198%
Trailiner $176 - $234 198%
UnitedHealthcare $176 - $234 198%
Webb City R-Vii School District (Tri-State Healthcare Coalition) $176 - $234 198%
Wellcare Health Plans $176 - $234 198%
Woodard Cleaning &Amp;#038; Restoration, Inc. $176 - $234 198%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 5904 S Southwood Rd, Springfield, MO 65804
  • CMS Rating: No CMS Rating
  • Ownership Type: N/A
  • Hospital Type: PART A PROVIDER - HOSPITAL