X-ray, chest (single view)
Facility: Mercy St Francis Hospital
Billing Code: 71045 (CPT)
- CPT Billing Code: 71045
- Insurance Median: $230
- Cash Discount Price: $166
- vs. Medicare Baseline: 2.59x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. 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 259% of the Medicare baseline (a markup of 159%). 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.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Medicaid / KanCare | $49 - $132 | 55% |
| Halo Hcr Inc Hospice Contracted [320432] | $70 - $87 | 79% |
| Qual Choice Contracted [320325] | $70 - $87 | 79% |
| Globalhealth Contracted [320145] | $70 - $87 | 79% |
| Kindful Hospice Contracted [320434] | $70 - $87 | 79% |
| Cherokee Nation Health Serv Contracted [320066] | $70 - $87 | 79% |
| UnitedHealthcare | $70 - $242 | 79% |
| Medical Associates Health Contracted [320444] | $70 - $87 | 79% |
| Dept of Veteran Affairs Contracted [320106] | $70 - $87 | 79% |
| Pace of the Ozarks Contracted [320518] | $70 - $87 | 79% |
| Medicare (plans) | $70 - $91 | 79% |
| Indian Health Service Contracted [320198] | $70 - $87 | 79% |
| Provider Partners Health Plans Contracted [320450] | $70 - $87 | 79% |
| Aetna | $70 - $227 | 79% |
| Halo Hcr Inc Hospice [20432] | $70 - $87 | 79% |
| Acentra Health Contracted [320527] | $70 | 79% |
| Mercy Mgd Behavioral Health Contracted [320259] | $70 - $87 | 79% |
| Humana | $70 - $230 | 79% |
| Kindful Hospice [20434] | $70 - $87 | 79% |
| Cross Timbers Hospice [20098] | $70 - $87 | 79% |
| Cigna | $70 - $242 | 79% |
| Elara Caring Aspire Hospice [20433] | $70 - $87 | 79% |
| Mercy Hospice Okc [20252] | $70 - $87 | 79% |
| Blue Cross Blue Shield | $70 - $247 | 79% |
| Tricare | $87 | 98% |
| Healthscope Contracted [320182] | $88 - $116 | 99% |
| Administrative Payor Contracted [320005] | $115 | 129% |
| Centivo Contracted [320505] | $116 - $148 | 130% |
| Home State Health Plan Contracted [320187] | $132 | 148% |
| Ambetter / Centene | $132 | 148% |
| Novasys Contracted [320285] | $132 | 148% |
| Healthlink Contracted [320179] | $166 - $242 | 187% |
| Preferred Health Plan Contracted [320522] | $166 | 187% |
| Workers Comp [20426] | $204 - $217 | 229% |
| United Medical Resources Contracted [320454] | $230 - $237 | 259% |
| Mercy Benefit Admin Contracted [320251] | $230 - $242 | 259% |
| Auxiant Contracted [320462] | $230 - $242 | 259% |
| Point C Contracted [320238] | $230 - $242 | 259% |
| Medica Contracted [320239] | $241 | 271% |
| Benefit Management Contracted [320052] | $242 | 272% |
| Ebms Contracted [320493] | $242 | 272% |
| Private Health Care Systems Contracted [320320] | $242 | 272% |
| USA Managed Care Org Contracted [320429] | $242 | 272% |
| Yuzu Health Contracted [320521] | $242 | 272% |
| Show-Me Health Administrators Contracted [320483] | $242 | 272% |
| Insurance System Inc Contracted [320465] | $242 | 272% |
| Health Systems Inc Contracted [320174] | $242 | 272% |
| First Health Contracted [320128] | $242 | 272% |
| 90 Degree Benefits Contracted [320436] | $242 | 272% |
| Multiplan Contracted [320270] | $242 | 272% |
| Evolutions Health Care Contracted [320124] | $242 | 272% |
| Edison Health Solutions Contracted [320502] | $242 | 272% |
| Imagine 360 Contracted [320494] | $242 | 272% |
| Point C [20238] | $242 | 272% |
| Reflect Health Contracted [320492] | $242 | 272% |
| Aither Health Contracted [320449] | $242 | 272% |