CMS Price Transparency Data

X-ray, chest (single view)

Facility: Cass County Memorial Hospital

Billing Code: 71045 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 71045
Insurance Median: $83
Cash Discount Price: $136
vs. Medicare Baseline: 0.93x Medicare

The contracted insurance negotiated median rate for a X-ray, chest (single view) at Cass County Memorial Hospital is $83. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $136. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 0.93x the Medicare baseline. Located in 1501 East Tenth Street, Atlantic, IA.

Cash / Self-Pay

$136

Average discount available for prompt cash payment at this facility.

Insurance Median

$83

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: $136 (153%)

Insurance Median: $83 (93%)

Cash: $136 (153% of Medicare)

Ins. Median: $83 (93% 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
Midlands Choice Medica Mcr	$39	44%
Triwest - All Plans	$79	89%
Aetna	$81 - $184	91%
Amerigroup Mcr Adv - All Other Plans	$81	91%
Medica Mcr Adv	$81	91%
Tricare	$81	91%
UnitedHealthcare	$81 - $108	91%
Va Ccn - All Plans	$81	91%
Wellmark Mcr Adv	$82	92%
Iowa Total Care Mcaid	$83	93%
Iowa Total Care Mcr	$83	93%
Molina Mcaid - All Plans	$83	93%
American Hlth Mcr Adv - All Plans	$84	94%
Medicaid / KanCare	$84	94%
Iowa Total Care Comm - All Other Plans	$90	101%
Wellmark Hmo	$109	123%
Wellmark Ppo - All Other Plans	$120	135%
Midlands Choice New Bus	$126	142%
Medica Comm - All Other Plans	$171	192%
Midlands Choice Pho (Ppo) - All Other Plans	$175	197%
Multiplan - All Plans	$184	207%

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 $136.
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 Cass County Memorial Hospital 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.