CMS Price Transparency Data

X-ray, chest (single view)

Facility: Adventist Health Vallejo

Billing Code: 71045 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 71045
Insurance Median: $341
Cash Discount Price: $123
vs. Medicare Baseline: 3.84x Medicare

The contracted insurance negotiated median rate for a X-ray, chest (single view) at Adventist Health Vallejo is $341. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $123. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 3.84x the Medicare baseline. Located in 525 Oregon St, Vallejo, CA.

Cash / Self-Pay

$123

Average discount available for prompt cash payment at this facility.

Insurance Median

$341

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: $123 (138%)

Insurance Median: $341 (384%)

Cash: $123 (138% of Medicare)

Ins. Median: $341 (384% 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 384% of the Medicare baseline (a markup of 284%). 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
Ah Employee Health Plan-All Plans	$9 - $158	10%
Blue Shield Mcr Adv	$9 - $88	10%
Medicare (plans)	$9 - $88	10%
Napa County Mcal Child	$9 - $88	10%
Tricare	$9 - $88	10%
Blue Shield Non-Epn-All Other Plans	$10 - $534	11%
Interplan-All Plans	$10 - $748	11%
Kaiser-All Plans	$10 - $967	11%
Cigna	$11 - $921	12%
UnitedHealthcare	$11 - $734	12%
Aetna	$13 - $70	15%
Western Growers-All Plans	$13 - $610	15%
Medi-Cal	$18 - $25	20%
Phcs-All Plans	$20 - $633	22%
Va Medi-Cal	$25	28%
Health Management Network-All Plans	$31 - $978	35%
Three Rivers-All Plans	$33 - $1,036	37%
Healthnet-All Plans	$68	76%
Va Mcr-All Other Plans	$88	99%
Blue Cross Blue Shield	$120 - $144	135%
Blue Shield Behav Hlth	$159 - $518	179%
Blue Shield Epn	$167 - $542	188%
Choicecare-All Plans	$248 - $806	279%
Beech Street-All Plans	$266 - $863	299%
Galaxy Network-All Plans	$319 - $1,036	359%

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 $123.
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 Vallejo 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.