CMS Price Transparency Data

X-ray, chest (two views)

Facility: Harlan County Health System

Billing Code: 71046 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 71046
  • Insurance Median: $311
  • Cash Discount Price: $274
  • vs. Medicare Baseline: 3.50x Medicare
The contracted insurance negotiated median rate for a X-ray, chest (two views) at Harlan County Health System is $311. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $274. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 3.50x the Medicare baseline. Located in 717 Brown St, Alma, NE.
Cash / Self-Pay
$274

Average discount available for prompt cash payment at this facility.

Insurance Median
$311

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: $274 (308%)
Insurance Median: $311 (350%)
Cash: $274 (308% of Medicare)
Ins. Median: $311 (350% 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 350% of the Medicare baseline (a markup of 250%). 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
Blue Cross Blue Shield $128 144%
Medica Mcr Adv $185 208%
Medica Prime Solution $185 208%
Humana $229 258%
Tricare $229 258%
Aetna $239 269%
Great Plains Mcr Adv-All Plans $241 271%
Medica Chi Aco - All Other Plans $311 350%
Medica Chi Health $311 350%
Medica Choice $311 350%
Ohara Llc Wc- All Plans $325 366%
Medica Ifb Aco $328 369%
Medica Ifb Open Access $328 369%
UnitedHealthcare $328 369%
Phcs/Multiplan-All Plans $335 377%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 717 Brown St, Alma, NE 68920
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals