CMS Price Transparency Data

X-ray, chest (single view)

Facility: Saint Mary's Hospital

Billing Code: 71045 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 71045
  • Insurance Median: $309
  • Cash Discount Price: $14,512
  • vs. Medicare Baseline: 3.48x Medicare
The contracted insurance negotiated median rate for a X-ray, chest (single view) at Saint Mary's Hospital is $309. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $14,512. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 3.48x the Medicare baseline. Located in 56 Franklin Street, Waterbury, CT.
Cash / Self-Pay
$14,512

Average discount available for prompt cash payment at this facility.

Insurance Median
$309

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: $14,512 (16322%)
Insurance Median: $309 (348%)
Cash: $14,512 (16322% of Medicare)
Ins. Median: $309 (348% 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 348% of the Medicare baseline (a markup of 248%). 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.

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
Aetna $38 - $8,291 43%
1199 National Benefit Fund $47 53%
Allied Benefit Systems $47 53%
Gravie Admin Services $47 53%
Hap $47 53%
Luminare Health $47 53%
Meritain $47 53%
Nippon Life Ins $47 53%
Webtpa $47 53%
Connecticare $55 - $56 62%
Connecticut Dept of Correction $96 - $7,814 108%
Blue Cross Blue Shield $102 - $25,094 115%
Medicare (plans) $102 - $8,630 115%
UnitedHealthcare $102 - $8,291 115%
Cca Senior Care Options $104 - $8,457 117%
Cigna $105 - $8,540 118%
Allegiance $114 128%
Health Partners $114 128%
Magnacare $114 128%
Geha $128 144%
Harvard Pilgrim Healthcare $128 144%
Carelon Behavioral Health $184 207%
Health New England $195 219%
Centivo $209 - $16,921 235%
Claimdoc $219 - $17,767 246%
Diversified Administrators $219 - $17,767 246%
Innovative Health Plan II $219 - $17,767 246%
Allied National Global Care $283 318%
Asrm - Reliance Standard Life Insurance $283 318%
Christian Care Ministry $283 318%
Dean Health $283 318%
Fallon Health $283 318%
Family Life Insurance Company $283 318%
Ghc Scw $283 318%
International Benefit Administrators $283 318%
Lifetime Benefit Solutions $283 318%
Manhattan Life $283 318%
Medi Share $283 318%
Multiplan $283 318%
Mvp $283 318%
PHCS $283 318%
Pai $283 318%
Pan-American Life $283 318%
Paramount HMO $283 318%
Trinity Health Share $283 318%
Prime Health Services $294 331%
Bcn Domestic $309 - $25,094 348%
Blue Benefit Administrators of Massachusetts $309 - $25,094 348%
Blue Care Network $309 - $25,094 348%
Blue Distinction Transplant $309 - $25,094 348%
Blue Shield - Ca $309 - $25,094 348%
Blue Shield - Id (Regence) $309 - $25,094 348%
Blue Shield - Ny Highmark Northeastern $309 - $25,094 348%
Blue Shield - Ny Highmark Western $309 - $25,094 348%
Blue Shield - PA (Highmark) $309 - $25,094 348%
Blue Shield - Wa (Regence) $309 - $25,094 348%
Health Choices $309 - $25,094 348%
Kaiser Domestic $309 - $25,094 348%
Pre-Employment $309 - $25,094 348%
Unicare $309 - $25,094 348%
Wc Domestic $309 - $25,094 348%
Wellpoint $309 - $25,094 348%
Health Smart $313 352%
United Behavioral Health Eap $368 414%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 56 Franklin Street, Waterbury, CT 06706
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals