CMS Price Transparency Data

X-ray, chest (two views)

Facility: Sanford Canton-Inwood Medical Center - Cah

Billing Code: 71046 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 71046
  • Insurance Median: $259
  • Cash Discount Price: $279
  • vs. Medicare Baseline: 2.91x Medicare
The contracted insurance negotiated median rate for a X-ray, chest (two views) at Sanford Canton-Inwood Medical Center - Cah is $259. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $279. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 2.91x the Medicare baseline. Located in 440 North Hiawatha Drive, Canton, SD.
Cash / Self-Pay
$279

Average discount available for prompt cash payment at this facility.

Insurance Median
$259

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: $279 (314%)
Insurance Median: $259 (291%)
Cash: $279 (314% of Medicare)
Ins. Median: $259 (291% 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 291% of the Medicare baseline (a markup of 191%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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
Sanford Health Plan Align $119 134%
Ucare $128 - $307 144%
Wellmark $128 - $304 144%
Aetna $129 - $303 145%
Health Partners $129 - $262 145%
Medicare (plans) $129 145%
UnitedHealthcare $129 - $291 145%
Primewest $132 148%
Sanford Health Plan $191 - $257 215%
Security Health Plan $192 216%
Medica $288 - $308 324%
First Choice Health Network $314 353%
Healthez $314 353%
Multiplan $314 353%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 440 North Hiawatha Drive, Canton, SD 57013
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals