CMS Price Transparency Data

X-ray, chest (single view)

Facility: Phelps Memorial Health Center

Billing Code: 71045 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 71045
  • Insurance Median: $144
  • Cash Discount Price: $173
  • vs. Medicare Baseline: 1.62x Medicare
The contracted insurance negotiated median rate for a X-ray, chest (single view) at Phelps Memorial Health Center is $144. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $173. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.62x the Medicare baseline. Located in 1215 Tibbals St, Holdrege, NE.
Cash / Self-Pay
$173

Average discount available for prompt cash payment at this facility.

Insurance Median
$144

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: $173 (195%)
Insurance Median: $144 (162%)
Cash: $173 (195% of Medicare)
Ins. Median: $144 (162% 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
Blue Cross Blue Shield $8 - $325 9%
Good Samaritan Mcr Adv - All Plans $8 - $147 9%
Medica Mcr Adv $8 - $147 9%
UnitedHealthcare $8 - $332 9%
Va Ccn - All Plans $8 - $147 9%
Wellcare Mcr Adv - All Plans $8 - $147 9%
Aetna $9 - $315 10%
Three Rivers - All Plans $10 - $176 11%
Providrs Care/Wppa - All Plans $11 - $308 12%
Ambetter / Centene $12 - $382 13%
Provider Network Of American - All Plans $12 - $318 13%
6 Degrees Hlth - All Plans $14 - $274 16%
Medica-All Other Plans $14 - $321 16%
Partners Hlth Alliance - All Plans $14 - $274 16%
Midwest Ntwrk Alliance - All Plans $15 - $325 17%
First Health - All Plans $40 - $325 45%
Molina Mcaid - All Plans $42 - $150 47%
Cpi Benefit Group-All Plans $308 346%
Chi Health Partners - All Plans $325 366%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1215 Tibbals St, Holdrege, NE 68949
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals