CMS Price Transparency Data

X-ray, chest (single view)

Facility: Portneuf Medical Center

Billing Code: 71045 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 71045
  • Insurance Median: $338
  • Cash Discount Price: $239
  • vs. Medicare Baseline: 3.80x Medicare
The contracted insurance negotiated median rate for a X-ray, chest (single view) at Portneuf Medical Center is $338. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $239. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 3.80x the Medicare baseline. Located in 777 Hospital Way, Pocatello, ID.
Cash / Self-Pay
$239

Average discount available for prompt cash payment at this facility.

Insurance Median
$338

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: $239 (269%)
Insurance Median: $338 (380%)
Cash: $239 (269% of Medicare)
Ins. Median: $338 (380% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 380% of the Medicare baseline (a markup of 280%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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
Aetna $82 - $338 92%
Healthscope Benefits [2290] $82 92%
UnitedHealthcare $82 - $359 92%
Black Lung [6055] $164 184%
Employee Benefit Management Services [2445] $164 - $239 184%
Healthcare Highways [2210] $164 - $379 184%
Lucent Health [6000] $164 184%
Moda Health [6100] $164 184%
Oncology Patient Assistance Programs [2295] $164 184%
Pending Ssi [1616] $164 184%
Web Tpa [2115] $164 184%
Pacific Source Health Plans [2850] $229 258%
Liberty Health Share Lhs/Medcost Solutions Llc [2400] $239 269%
Medishare Christian Care [1645] $239 269%
Multiplan [1680] $267 - $379 300%
Cigna $294 331%
First Health [1375] $329 370%
Mailhandlers [1595] $338 380%
Selecthealth [3740] $338 - $359 380%
Geha [1415] $359 404%
Humana $359 404%
Administrative Concepts [1005] $379 426%
Healthfirst [2395] $379 426%
Healthnet [1495] $379 426%
Hometown Health [2155] $379 426%
Mayo Clinic Health Solutions [2280] $379 426%
Meritain Health [1655] $379 426%
Mutual Of Omaha [1685] $379 426%
National Association Of Letter Carriers [1695] $379 426%
New Era Life Insurance Company [1705] $379 426%
Pan American Life Insurance Co [1770] $379 426%
Pba [1775] $379 426%
Phcs [1780] $379 426%
Planned Administrators Inc [2360] $379 426%
Trustmark [2030] $379 426%
Ut Id Teamsters [3760] $379 426%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 777 Hospital Way, Pocatello, ID 83201
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals