CMS Price Transparency Data

X-ray, chest (two views)

Facility: Mercy Medical Center

Billing Code: 71046 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 71046
Insurance Median: $53
Cash Discount Price: $365
vs. Medicare Baseline: 0.60x Medicare

The contracted insurance negotiated median rate for a X-ray, chest (two views) at Mercy Medical Center is $53. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $365. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 0.60x the Medicare baseline. Located in 1320 Mercy Drive Nw, Canton, OH.

Cash / Self-Pay

$365

Average discount available for prompt cash payment at this facility.

Insurance Median

$53

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: $365 (411%)

Insurance Median: $53 (60%)

Cash: $365 (411% of Medicare)

Ins. Median: $53 (60% 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
Summacare	$6 - $460	7%
Aetna	$10 - $657	11%
Blue Cross Blue Shield	$10 - $360	11%
Cigna	$10 - $293	11%
Communicare	$10 - $85	11%
Humana	$10 - $81	11%
Mmo	$10 - $460	11%
The Health Plan	$10 - $562	11%
United	$10 - $182	11%
Aultcare	$11 - $230	12%
Perennial Health	$11 - $88	12%
Zing Health	$11 - $89	12%
Buckeye	$24 - $47	27%
Caresource	$24 - $47	27%
Amerihealth	$25 - $51	28%
Molina	$25 - $48	28%
Oscar	$25 - $216	28%
Ohcp	$37 - $273	42%
Omas	$48 - $328	54%
Phphi	$57 - $394	64%
Gms	$66 - $460	74%
Immergrun	$71 - $493	80%
Multiplan	$86 - $591	97%
Cc Ehp	$224 - $228	252%
Amish Community Aid Plan	$253 - $281	285%
Ohio Healthy	$303	341%
Php	$337	379%
Medical Benefit Corp	$393	442%
Consociate Health	$422	475%
Frontpath	$506	569%
Managed Care Services	$506	569%
Tertiary Care Network	$506	569%

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 $365.
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 Mercy Medical 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.