CMS Price Transparency Data

X-ray, chest (single view)

Facility: Adventist Health and Rideout

Billing Code: 71045 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 71045
Insurance Median: $316
Cash Discount Price: $116
vs. Medicare Baseline: 3.55x Medicare

The contracted insurance negotiated median rate for a X-ray, chest (single view) at Adventist Health and Rideout is $316. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $116. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 3.55x the Medicare baseline. Located in 726 4Th St, Marysville, CA.

Cash / Self-Pay

$116

Average discount available for prompt cash payment at this facility.

Insurance Median

$316

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: $116 (130%)

Insurance Median: $316 (355%)

Cash: $116 (130% of Medicare)

Ins. Median: $316 (355% 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 355% of the Medicare baseline (a markup of 255%). 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
Bc Mcal	$18	20%
Kaiser Mcal	$25	28%
Medi-Cal	$25	28%
Ca Health And Wellness- All Plans	$31	35%
Celtic Mcaid-All Plans	$31	35%
Healthnet Mcal	$73 - $139	82%
Kaiser Mcr Adv	$112	126%
Tricare	$112	126%
UnitedHealthcare	$112 - $604	126%
Blue Cross Blue Shield	$113 - $535	127%
Ah Employee Health Plan - All Plans	$202	227%
Healthnet Comm-All Other Plans	$233 - $447	262%
Aetna	$257 - $491	289%
Kaiser-All Other Plans	$276 - $528	310%
Blue Shield Uc Care Members	$290 - $556	326%
Cigna	$309 - $592	348%
First Health-All Plans	$318 - $608	358%
Phcs-All Plans	$319 - $612	359%
Interplan-All Plans	$327 - $626	368%
Blue Shield-All Other Plans	$345 - $660	388%
Multiplan-All Plans	$345 - $660	388%
Partnership Hp Mcal -All Plans	$599 - $1,147	674%

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 $116.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 71045.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Adventist Health and Rideout is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 71045.
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.