CMS Price Transparency Data

X-ray, chest (two views)

Facility: Phelps Memorial Health Center

Billing Code: 71046 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 71046
Insurance Median: $322
Cash Discount Price: $374
vs. Medicare Baseline: 3.62x Medicare

The contracted insurance negotiated median rate for a X-ray, chest (two views) at Phelps Memorial Health Center is $322. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $374. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 3.62x the Medicare baseline. Located in 1215 Tibbals St, Holdrege, NE.

Cash / Self-Pay

$374

Average discount available for prompt cash payment at this facility.

Insurance Median

$322

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: $374 (421%)

Insurance Median: $322 (362%)

Cash: $374 (421% of Medicare)

Ins. Median: $322 (362% 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 362% of the Medicare baseline (a markup of 262%). 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
Blue Cross Blue Shield	$130 - $185	146%
UnitedHealthcare	$165 - $417	186%
Aetna	$173 - $396	195%
Good Samaritan Mcr Adv - All Plans	$173 - $185	195%
Medica Mcr Adv	$173 - $185	195%
Va Ccn - All Plans	$173 - $185	195%
Wellcare Mcr Adv - All Plans	$173 - $185	195%
Molina Mcaid - All Plans	$177 - $189	199%
Three Rivers - All Plans	$207 - $222	233%
6 Degrees Hlth - All Plans	$322 - $344	362%
Partners Hlth Alliance - All Plans	$322 - $344	362%
Cpi Benefit Group-All Plans	$362 - $387	407%
Providrs Care/Wppa - All Plans	$362 - $387	407%
Provider Network Of American - All Plans	$374 - $400	421%
Medica-All Other Plans	$378 - $404	425%
Chi Health Partners - All Plans	$382 - $408	430%
First Health - All Plans	$382 - $409	430%
Midwest Ntwrk Alliance - All Plans	$382 - $408	430%
Ambetter / Centene	$449 - $481	505%

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 $374.
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 Phelps Memorial Health Center 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.