CMS Price Transparency Data

X-ray, chest (two views)

Facility: Sanford Clear Lake Medical Center

Billing Code: 71046 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 71046
Insurance Median: $362
Cash Discount Price: $353
vs. Medicare Baseline: 4.07x Medicare

The contracted insurance negotiated median rate for a X-ray, chest (two views) at Sanford Clear Lake Medical Center is $362. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $353. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 4.07x the Medicare baseline. Located in 701 Third Avenue South, Clear Lake, SD.

Cash / Self-Pay

$353

Average discount available for prompt cash payment at this facility.

Insurance Median

$362

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: $353 (397%)

Insurance Median: $362 (407%)

Cash: $353 (397% of Medicare)

Ins. Median: $362 (407% 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 407% of the Medicare baseline (a markup of 307%). 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
Sanford Health Plan Align	$226	254%
Blue Cross Blue Shield	$236	265%
Security Health Plan	$243	273%
Ucare	$243 - $387	273%
Wellmark Sd	$243	273%
Aetna	$245 - $383	276%
Health Partners	$245 - $331	276%
Medicare (plans)	$245	276%
UnitedHealthcare	$245 - $368	276%
Primewest	$250	281%
Sanford Health Plan	$306 - $410	344%
Medica	$364 - $389	409%
Wellmark	$379 - $384	426%
Cigna	$397	447%
First Choice Health Network	$397	447%
Healthez	$397	447%
Multiplan	$397	447%

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 $353.
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 Sanford Clear Lake 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.