CMS Price Transparency Data

X-ray, chest (single view)

Facility: The Children's Mercy Hospital

Billing Code: 71045 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 71045
  • Insurance Median: $236
  • Cash Discount Price: $96
  • vs. Medicare Baseline: 2.65x Medicare
The contracted insurance negotiated median rate for a X-ray, chest (single view) at The Children's Mercy Hospital is $236. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $96. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 2.65x the Medicare baseline. Located in 2401 Gillham Road, Kansas City, MO.
Cash / Self-Pay
$96

Average discount available for prompt cash payment at this facility.

Insurance Median
$236

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: $96 (108%)
Insurance Median: $236 (265%)
Cash: $96 (108% of Medicare)
Ins. Median: $236 (265% 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 265% of the Medicare baseline (a markup of 165%). 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
UnitedHealthcare $7 - $365 8%
Cigna $8 - $377 9%
Healthy Blue $8 - $226 9%
Home State Health $8 - $198 9%
Medicaid / KanCare $8 - $57 9%
Healthlink $11 - $478 12%
Wppa Providrs Care $11 - $353 12%
American Healthcare Alliance $12 - $462 13%
Health Midwest Comprehensive Care $12 - $353 13%
Medica $15 - $317 17%
Blue Cross Blue Shield $16 - $402 18%
Wellfit/Centrus $16 - $353 18%
Centivo $17 - $353 19%
Nebraska Furniture Mart $17 - $353 19%
Coxhealth Network $19 - $402 21%
Mercy Health $19 - $407 21%
National Preferred Provider Network $23 - $489 26%
Aetna $217 - $369 244%
Orscheln $235 - $353 264%
Quiktrip $236 - $353 265%
Humana $241 - $361 271%
Coventry Health Care Of Kansas $268 - $402 301%
Multiplan $275 - $413 309%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2401 Gillham Road, Kansas City, MO 64108
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Childrens