CMS Price Transparency Data

X-ray, chest (two views)

Facility: The Children's Mercy Hospital

Billing Code: 71046 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 71046
Insurance Median: $234
Cash Discount Price: $124
vs. Medicare Baseline: 2.63x Medicare

The contracted insurance negotiated median rate for a X-ray, chest (two views) at The Children's Mercy Hospital is $234. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $124. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 2.63x the Medicare baseline. Located in 2401 Gillham Road, Kansas City, MO.

Cash / Self-Pay

$124

Average discount available for prompt cash payment at this facility.

Insurance Median

$234

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: $124 (139%)

Insurance Median: $234 (263%)

Cash: $124 (139% of Medicare)

Ins. Median: $234 (263% 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 263% of the Medicare baseline (a markup of 163%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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	$9 - $327	10%
Cigna	$10 - $338	11%
Healthy Blue	$10 - $226	11%
Home State Health	$10 - $198	11%
Medicaid / KanCare	$10 - $57	11%
Healthlink	$13 - $429	15%
Wppa Providrs Care	$13 - $317	15%
Health Midwest Comprehensive Care	$14 - $317	16%
American Healthcare Alliance	$15 - $414	17%
Medica	$18 - $284	20%
Blue Cross Blue Shield	$19 - $360	21%
Centivo	$20 - $317	22%
Nebraska Furniture Mart	$20 - $317	22%
Wellfit/Centrus	$20 - $317	22%
Coxhealth Network	$23 - $360	26%
Mercy Health	$23 - $365	26%
National Preferred Provider Network	$27 - $438	30%
Aetna	$292 - $331	328%
Orscheln	$317	357%
Quiktrip	$317	357%
Humana	$324	364%
Coventry Health Care Of Kansas	$360	405%
Multiplan	$370	416%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $124.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 71046.

Insurance In-Network Protection Plan

Contact your insurance company to confirm The Children's Mercy Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 71046.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.