CMS Price Transparency Data

X-ray, chest (single view)

Facility: Iowa Specialty Hospital - Clarion

Billing Code: 71045 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 71045
Insurance Median: $52
Cash Discount Price: $30
vs. Medicare Baseline: 0.58x Medicare

The contracted insurance negotiated median rate for a X-ray, chest (single view) at Iowa Specialty Hospital - Clarion is $52. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $30. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 0.58x the Medicare baseline. Located in 1316 South Main Street, Clarion, IA.

Cash / Self-Pay

$30

Average discount available for prompt cash payment at this facility.

Insurance Median

$52

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: $30 (34%)

Insurance Median: $52 (58%)

Cash: $30 (34% of Medicare)

Ins. Median: $52 (58% 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
Tricare	$8 - $85	9%
Triwest Va - All Plans	$8 - $85	9%
Aetna	$9 - $233	10%
Health Partners Ish-All Other Plans	$12 - $219	13%
Healthscope Stellar-All Plans	$13 - $145	15%
Wellmark Hmo	$17 - $109	19%
Wellmark Ppo - All Other Plans	$19 - $120	21%
UnitedHealthcare	$23 - $260	26%
Auxiant Clarion Schools-All Plans	$31 - $178	35%
Health Partners Prestage	$35 - $206	39%
Cigna	$52 - $266	58%
Midlands Choice-All Plans	$52 - $266	58%

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 $30.
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 Iowa Specialty Hospital - Clarion 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.