CMS Price Transparency Data

X-ray, chest (two views)

Facility: Merit Health River Oaks

Billing Code: 71046 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 71046
  • Insurance Median: $79
  • Cash Discount Price: $111
  • vs. Medicare Baseline: 0.89x Medicare
The contracted insurance negotiated median rate for a X-ray, chest (two views) at Merit Health River Oaks is $79. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $111. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 0.89x the Medicare baseline. Located in 1030 River Oaks Drive, Flowood, MS.
Cash / Self-Pay
$111

Average discount available for prompt cash payment at this facility.

Insurance Median
$79

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: $111 (125%)
Insurance Median: $79 (89%)
Cash: $111 (125% of Medicare)
Ins. Median: $79 (89% 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
Cigna $4 - $240 4%
Self Pay $4 - $265 4%
UnitedHealthcare $5 - $322 6%
Trimed Billing Solutions $6 - $362 7%
Ms State Hospital Of Whitfield Ms $8 - $458 9%
First Choice Standard $9 - $554 10%
First Choice Coventry $10 - $627 11%
First Choice Mpcn Standard $11 - $663 12%
First Choice Ppo Plus $11 - $663 12%
Phcs $12 - $723 13%
Aetna $14 - $844 16%
Benefit Administration Services $14 - $1,024 16%
Benefit Management Systems $14 - $1,024 16%
Citizens State Bank Inc $14 - $1,024 16%
First Choice Stratose $16 - $964 18%
Prime Health Services $16 - $964 18%
American Health Group $17 - $1,024 19%
Beech Street $17 - $1,024 19%
Formost $17 - $1,024 19%
Usa Mco $17 - $1,024 19%
One Health Plan $18 - $1,084 20%
Ms Dept Of Rehabilitation Services $20 - $1,205 22%
Veterans Eval Services $20 - $75 22%
Ms Work Comp $44 49%
Prime Health Wc $44 49%
Medicaid / KanCare $67 - $184 75%
Caresource Truecare $68 76%
Magnolia Mcd Chip $68 76%
Molina Chip $72 81%
Tricare $75 84%
Humana $77 87%
Medicare (plans) $77 87%
Node First Choice Shared Health Of Ms Mcr Adv $77 87%
Node Vantage Health Mcr Adv $77 87%
Molina $79 89%
Node Champva $79 89%
Node Devoted Health Mcr Adv $79 89%
Node First Choice American Health Mcr Adv $79 89%
Node Hospice Non Par Agree $79 89%
Node Va $79 89%
Node First Choice Wellcare Mcr Adv $80 90%
Node Healthy Mississippi Mcr Adv $86 97%
Node Us Dept Of Labor $98 110%
First Choice Preferred $118 133%
Node First Choice Occunet $118 133%
Molina Exchange $127 143%
Advanced Health Systems $129 145%
Node First Choice Seven Corners $134 151%
Magnolia Exchange $138 155%
First Choice Lgp $171 192%
Vantage Health Commercial $177 199%
Blue Cross Blue Shield $189 213%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1030 River Oaks Drive, Flowood, MS 39232
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals