CMS Price Transparency Data

X-ray, chest (single view)

Facility: Adventist Health Sonora

Billing Code: 71045 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 71045
  • Insurance Median: $120
  • Cash Discount Price: $40
  • vs. Medicare Baseline: 1.35x Medicare
The contracted insurance negotiated median rate for a X-ray, chest (single view) at Adventist Health Sonora is $120. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $40. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.35x the Medicare baseline. Located in 1000 Greenley Road, Sonora, CA.
Cash / Self-Pay
$40

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: $40 (45%)
Insurance Median: $120 (135%)
Cash: $40 (45% 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.

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 Mcare $8 - $120 9%
Central Ca Alliance Mcr Adv Profee Only $8 9%
Healthnet Mcr Adv $8 - $120 9%
Tricare $8 - $120 9%
UnitedHealthcare $8 - $414 9%
Ah Employee Health Plan - All Plans $9 - $216 10%
Cigna $10 - $457 11%
Greatwest Oa/Pos/Hmo $11 - $409 12%
Greatwest Ppo - All Other Plans $11 - $433 12%
Healthnet - All Other Plans $12 - $421 13%
Western Growers/Pinnacle - All Plans $13 - $255 15%
Blue Shield - All Other Plans $14 - $366 16%
Blue Shield Epn $14 - $365 16%
Aetna $18 - $120 20%
Bc Mcal $18 20%
Celtic Ca Hlth Well Mcal - All Plans $18 - $35 20%
Central Ca Alliance Mcal $18 - $29 20%
Healthnet Mcal $18 - $38 20%
Medi-Cal $18 - $25 20%
Central Ca Alliance Ccs Mcal $26 - $29 29%
Central Ca Alliance Comm Profee Only-All Other Pla $26 29%
Central Ca Alliance Chdp Mcal $29 - $35 33%
Beech Street- All Plans $31 - $409 35%
Trpn - Three Rivers Ppo - All Plans $31 - $385 35%
Bc Exchange $109 123%
Phs Prime Health Srvcs-All Plans $120 135%
Bc Non-Mcs - All Other Plans $121 136%
Bc Mcs $146 164%
Kaiser - All Plans $179 - $240 201%
Affordable Health - All Plans $322 - $433 362%
Interplan - All Plans $322 - $433 362%
Multiplan - All Plans $322 - $433 362%
Phcs Ppo - All Plans $322 - $433 362%
Stanilaus Foundation - All Plans $340 - $457 382%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1000 Greenley Road, Sonora, CA 95370
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals