CMS Price Transparency Data

X-ray, chest (single view)

Facility: Jefferson County Health Center

Billing Code: 71045 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 71045
Insurance Median: $71
Cash Discount Price: $80
vs. Medicare Baseline: 0.80x Medicare

The contracted insurance negotiated median rate for a X-ray, chest (single view) at Jefferson County Health Center is $71. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $80. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 0.80x the Medicare baseline. Located in 2000 S Main, Fairfield, IA.

Cash / Self-Pay

$80

Average discount available for prompt cash payment at this facility.

Insurance Median

$71

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: $80 (90%)

Insurance Median: $71 (80%)

Cash: $80 (90% of Medicare)

Ins. Median: $71 (80% 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
UnitedHealthcare	$28 - $182	31%
Tricare	$31 - $78	35%
Amerigroup Mcr Adv	$32 - $81	36%
Humana	$32 - $81	36%
Iowa Total Care Comm - All Other Plans	$32 - $81	36%
Iowa Total Care Mcr	$32 - $81	36%
Molina Mcr Adv	$32 - $81	36%
Iowa Total Care Mcaid	$34 - $85	38%
Molina Mcaid/Chip	$34 - $85	38%
Medicaid / KanCare	$35 - $87	39%
Aetna	$40 - $182	45%
Medicare (plans)	$40 - $99	45%
Wellmark Hmo	$59	66%
Wellmark Indemnity/Ppo - All Other Plans	$65	73%
Midlands New Product	$66 - $166	74%
Coventry Commercial Hmo	$69 - $172	78%
Coventry Commercial Ppo - All Other Plans	$73 - $182	82%
Midlands Choice-All Other Plans	$73 - $182	82%
Molina Marketplace - All Other Plans	$81 - $202	91%

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 $80.
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 Jefferson County Health Center 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.