CMS Price Transparency Data

X-ray, chest (single view)

Facility: Adventist Health Ukiah Valley

Billing Code: 71045 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 71045
Insurance Median: $120
Cash Discount Price: $21
vs. Medicare Baseline: 1.35x Medicare

The contracted insurance negotiated median rate for a X-ray, chest (single view) at Adventist Health Ukiah Valley is $120. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $21. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.35x the Medicare baseline. Located in 275 Hospital Drive, Ukiah, CA.

Cash / Self-Pay

$21

Average discount available for prompt cash payment at this facility.

Insurance Median

$120

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: $21 (24%)

Insurance Median: $120 (135%)

Cash: $21 (24% of Medicare)

Ins. Median: $120 (135% 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
Blue Shield Mcr Adv	$8 - $120	9%
Kaiser Mcr Adv	$8 - $120	9%
Tricare	$8 - $120	9%
Ah Employee Health Plan - All Plans	$9 - $216	10%
Aetna	$10 - $73	11%
Cigna	$11 - $585	12%
UnitedHealthcare	$11 - $627	12%
Healthnet-All Plans	$12 - $429	13%
Western Growers-All Plans	$13 - $315	15%
Blue Shield Epn-All Other Plans	$14 - $286	16%
Blue Shield Non-Epn	$14 - $290	16%
Kaiser Medi-Cal	$18 - $25	20%
Medi-Cal	$18 - $25	20%
Mendocino Lcc District-All Plans	$22 - $488	25%
Kaiser-All Other Plans	$27 - $600	30%
Three Rivers-All Plans	$31 - $675	35%
Blue Cross Blue Shield	$121 - $162	136%
Foundation For Medical Care-All Plans	$562	632%
Networks By Design-All Plans	$600	675%
Phcs Multiplan-All Plans	$600	675%
Interplan-All Plans	$615	692%
Beech Street-All Plans	$638	718%
Choice Care-All Plans	$638	718%
Health Mgmt Network-All Plans	$638	718%

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 $21.
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 Ukiah Valley 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.