CMS Price Transparency Data

X-ray, chest (single view)

Facility: Boone County Hospital

Billing Code: 71045 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 71045
  • Insurance Median: $20
  • Cash Discount Price: $32
  • vs. Medicare Baseline: 0.22x Medicare
The contracted insurance negotiated median rate for a X-ray, chest (single view) at Boone County Hospital is $20. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $32. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 0.22x the Medicare baseline. Located in 1015 Union Street, Boone, IA.
Cash / Self-Pay
$32

Average discount available for prompt cash payment at this facility.

Insurance Median
$20

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: $32 (36%)
Insurance Median: $20 (22%)
Cash: $32 (36% of Medicare)
Ins. Median: $20 (22% 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
Choice Care Mcr Adv - All Plans $11 - $16 12%
Humana $11 - $36 12%
Iowa Hlth Adv - All Plans $11 - $16 12%
Mt Carmel Hp - All Plans $11 - $16 12%
UnitedHealthcare $11 - $150 12%
Va Ccn-All Plans $11 - $16 12%
Aetna $12 - $107 13%
Amerigroup Mcr Adv - All Other Plans $12 - $17 13%
Iowa Total Care Mcaid - All Plans $13 - $118 15%
Medicaid / KanCare $13 - $19 15%
Meridian Mcaid - All Plans $13 - $18 15%
Healthsmart Accell Network $20 - $28 22%
Medical Associates Hp-All Plans $21 - $30 24%
Healthsmart Ppo - All Other Plans $22 - $32 25%
Health Alliance-All Plans $25 - $36 28%
Midlands Choice-All Plans $26 - $37 29%
Mutually Preferred-All Plans $27 - $38 30%
Wellmark Hmo $58 65%
Wellmark Ppo - All Other Plans $64 72%
Tricare $89 100%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1015 Union Street, Boone, IA 50036
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Critical Access Hospitals