CMS Price Transparency Data

X-ray, chest (single view)

Facility: Madison County Health Care System

Billing Code: 71045 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 71045
  • Insurance Median: $159
  • Cash Discount Price: $195
  • vs. Medicare Baseline: 1.79x Medicare
The contracted insurance negotiated median rate for a X-ray, chest (single view) at Madison County Health Care System is $159. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $195. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.79x the Medicare baseline. Located in 300 West Hutchings Street, Winterset, IA.
Cash / Self-Pay
$195

Average discount available for prompt cash payment at this facility.

Insurance Median
$159

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: $195 (219%)
Insurance Median: $159 (179%)
Cash: $195 (219% of Medicare)
Ins. Median: $159 (179% 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
Blue Cross Blue Shield $60 - $65 67%
Aetna $105 - $159 118%
Medical Associates Hp - All Plans $105 118%
Medigold-All Plans $105 118%
Tricare $105 118%
UnitedHealthcare $105 - $220 118%
American Hp Mcr Adv-All Plans $110 124%
Iowa Total Care Mcaid-All Plans $115 129%
Molina Mcaid/Chip -All Plans $119 134%
Amerigroup Mcaid-All Plans $122 137%
Madison County Sheriff-All Plans $122 137%
Oscar - All Plans $157 177%
Corvel Wc-All Plans $220 247%
Choicecare-All Plans $232 261%
First Choice-All Plans $232 261%
First Health-All Plans $232 261%
Integrated Hp-All Plans $232 261%
Mutual Of Omaha-All Plans $232 261%
Plaines Health-All Plans $232 261%
Preferred Hlth Ntwork-All Plans $232 261%
Principal Healthcare-All Plans $232 261%
Usa Managed Care-All Plans $232 261%
Medimore Employee Hp - All Plans $239 269%
Midlands Choice - All Plans $239 269%
Benefit Admin Of America-All Plans $244 274%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 300 West Hutchings Street, Winterset, IA 50273
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals