CMS Price Transparency Data

X-ray, chest (two views)

Facility: Pioneer Memorial Hospital - Cah

Billing Code: 71046 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 71046
Insurance Median: $174
Cash Discount Price: $325
vs. Medicare Baseline: 1.96x Medicare

The contracted insurance negotiated median rate for a X-ray, chest (two views) at Pioneer Memorial Hospital - Cah is $174. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $325. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.96x the Medicare baseline. Located in 315 N Washington Ave Post Office Box 368, Viborg, SD.

Cash / Self-Pay

$325

Average discount available for prompt cash payment at this facility.

Insurance Median

$174

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: $325 (366%)

Insurance Median: $174 (196%)

Cash: $325 (366% of Medicare)

Ins. Median: $174 (196% 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
UnitedHealthcare	$65 - $389	73%
Aetna	$148 - $366	166%
Health Partners	$155 - $384	174%
United Medical Resources	$157 - $389	177%
Avera Health Plan	$159 - $394	179%
Cigna	$159 - $394	179%
Dakotacare	$159 - $394	179%
Medica	$159 - $394	179%
Sanford Health Plan	$168 - $417	189%
Blue Cross Blue Shield	$180 - $444	202%

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 $325.
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 Pioneer Memorial Hospital - Cah 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.