CMS Price Transparency Data

X-ray, chest (two views)

Facility: Merit Health Madison

Billing Code: 71046 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 71046
Insurance Median: $151
Cash Discount Price: $79
vs. Medicare Baseline: 1.70x Medicare

The contracted insurance negotiated median rate for a X-ray, chest (two views) at Merit Health Madison is $151. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $79. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.70x the Medicare baseline. Located in 161 River Oaks Drive, Canton, MS.

Cash / Self-Pay

$79

Average discount available for prompt cash payment at this facility.

Insurance Median

$151

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: $79 (89%)

Insurance Median: $151 (170%)

Cash: $79 (89% of Medicare)

Ins. Median: $151 (170% 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.

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
Ms-Can-Molina	$69	78%
Ms-Can-Magnolia	$70	79%
Ms-Can-Truecare	$70	79%
Medicare (plans)	$79	89%
Wellcare	$81	91%
Devoted_Health	$82	92%
Humana	$82	92%
Advhealth	$129	145%
Molina-Chip	$148	166%
Magnolia-Chip	$151	170%
Truecare-Chip	$151	170%
Mpcn	$153	172%
Firstchoice	$157	177%
United	$160	180%
United_Exchange	$160	180%
Molina_Exchange	$169	190%
Ambetter / Centene	$188 - $203	211%
Blue Cross Blue Shield	$188 - $189	211%
Cigna	$188	211%

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 $79.
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 Merit Health Madison 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.