CMS Price Transparency Data

X-ray, chest (single view)

Facility: Nemours Children's Hospital, Delaware

Billing Code: 71045 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 71045
Insurance Median: $96
Cash Discount Price: $174
vs. Medicare Baseline: 1.08x Medicare

The contracted insurance negotiated median rate for a X-ray, chest (single view) at Nemours Children's Hospital, Delaware is $96. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $174. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.08x the Medicare baseline. Located in 1600 Rockland Rd Po Box 269, Wilmington, DE.

Cash / Self-Pay

$174

Average discount available for prompt cash payment at this facility.

Insurance Median

$96

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: $174 (196%)

Insurance Median: $96 (108%)

Cash: $174 (196% of Medicare)

Ins. Median: $96 (108% 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
Us Family Health Plan	$10	11%
Carefirst Md Community Health Plan	$18	20%
Keystone First Hlth Plan	$35 - $77	39%
Celtic Transplant	$43 - $174	48%
Amerihealth Caritas Delaware	$53 - $99	60%
Blue Cross Blue Shield	$54 - $154	61%
Celtic Transplant For De First Health	$61	69%
Delaware First Health	$63	71%
UnitedHealthcare	$64 - $109	72%
Wellpoint Maryland	$64	72%
Kidz Partners	$66	74%
Health Partners	$67	75%
Upmc	$69	78%
Fidelis	$70	79%
Aetna	$74 - $101	83%
Priority Partners John Hopkins	$85	96%
Six Degrees Health Transplant	$87	98%
Tricare	$92	103%
Cigna	$96 - $110	108%
Great West-One Health Plan	$96 - $110	108%
Ambetter / Centene	$99	111%
Geisinger Health Plan	$104	117%
Integra Administrative Group	$104	117%
National Transplant Network (Ntn)	$113	127%
Six Degrees Health	$113	127%
Star Healthcare Network	$113	127%
Life Trac Solid Organ And Bmt Transplant	$122	137%
First Health Network	$165	186%
Insurance Administrators Of America	$165	186%
Interlink Transplant Network	$165	186%
Multiplan	$165	186%
Preferred Healthcare	$165	186%
Private Healthcare Systems	$165	186%
Three Rivers Provider Network	$165	186%

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 $174.
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 Nemours Children's Hospital, Delaware 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.