CMS Price Transparency Data

X-ray, chest (single view)

Facility: Kapiolani Medical Center for Women & Children

Billing Code: 71045 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 71045
Insurance Median: $107
Cash Discount Price: $219
vs. Medicare Baseline: 1.20x Medicare

The contracted insurance negotiated median rate for a X-ray, chest (single view) at Kapiolani Medical Center for Women & Children is $107. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $219. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.20x the Medicare baseline. Located in 1319 Punahou Street, Honolulu, HI.

Cash / Self-Pay

$219

Average discount available for prompt cash payment at this facility.

Insurance Median

$107

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: $219 (246%)

Insurance Median: $107 (120%)

Cash: $219 (246% of Medicare)

Ins. Median: $107 (120% 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
Hmsa	$16 - $88	18%
UnitedHealthcare	$25	28%
Mdx	$27 - $88	30%
Verdegard	$72	81%
Alohacare	$88 - $97	99%
Kaiser	$88 - $321	99%
Devoted	$92	103%
Ohana	$106 - $107	119%
Uha	$182 - $274	205%
Mimoh	$256 - $274	288%
Calvos	$274	308%
Hwmg/Hmaa	$290	326%
Hcha	$292	328%
Multiplan	$292 - $310	328%
Mccp	$310	349%
Coventry	$328	369%

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 $219.
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 Kapiolani Medical Center for Women & Children 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.