CMS Price Transparency Data

X-ray, chest (two views)

Facility: Texoma Medical Center

Billing Code: 71046 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 71046
  • Insurance Median: $340
  • Cash Discount Price: $1,231
  • vs. Medicare Baseline: 3.82x Medicare
The contracted insurance negotiated median rate for a X-ray, chest (two views) at Texoma Medical Center is $340. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,231. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 3.82x the Medicare baseline. Located in 5016 S Us Highway 75, Denison, TX.
Cash / Self-Pay
$1,231

Average discount available for prompt cash payment at this facility.

Insurance Median
$340

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: $1,231 (1385%)
Insurance Median: $340 (382%)
Cash: $1,231 (1385% of Medicare)
Ins. Median: $340 (382% 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 382% of the Medicare baseline (a markup of 282%). 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
Molina $102 115%
Tchp $107 120%
Amerigroup $164 184%
United_Healthcare $164 184%
Healthchoice $176 198%
Superior $220 247%
Aetna $459 516%
Cigna $606 - $651 682%
Humana $957 1076%
Multiplan $1,165 1310%
Healthsmart $1,231 1385%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 5016 S Us Highway 75, Denison, TX 75020
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals