CMS Price Transparency Data

X-ray, chest (single view)

Facility: Adventist Health Castle

Billing Code: 71045 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 71045
  • Insurance Median: $163
  • Cash Discount Price: $88
  • vs. Medicare Baseline: 1.83x Medicare
The contracted insurance negotiated median rate for a X-ray, chest (single view) at Adventist Health Castle is $163. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $88. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.83x the Medicare baseline. Located in 640 Ulukahiki St, Kailua, HI.
Cash / Self-Pay
$88

Average discount available for prompt cash payment at this facility.

Insurance Median
$163

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: $88 (99%)
Insurance Median: $163 (183%)
Cash: $88 (99% of Medicare)
Ins. Median: $163 (183% 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
Multiplan Hmn - All Plans $12 13%
UnitedHealthcare $17 19%
Hmsa Hmo $31 35%
Hmsa Ppo - All Other Plans $31 35%
Alohacare Quest Mcaid - All Other Plans $49 - $89 55%
Kfh Mcr Adv $103 116%
Medicare (plans) $103 116%
Ohana Health Plan - All Plans $105 118%
Devoted Hlth Mcr Adv - All Plans $108 121%
Pacific Admin Ppo - All Plans $125 - $226 141%
Hwmg/Hmaa - All Plans $145 - $261 163%
Mdx Hawaii Ppo - All Plans $157 - $283 177%
Health Alliance - All Plans $158 - $284 178%
Kfh - All Other Plans $167 - $302 188%
Uni Health Alliance - All Plans $184 - $331 207%
First Health Ppo - All Plans $185 - $334 208%
Medicaid / KanCare $197 - $355 222%
State Of Hi Nonprofit - All Plans $345 - $621 388%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 640 Ulukahiki St, Kailua, HI 96734
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals