CMS Price Transparency Data

X-ray, chest (single view)

Facility: Alton Memorial Hospital

Billing Code: 71045 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 71045
Insurance Median: $256
Cash Discount Price: $261
vs. Medicare Baseline: 2.88x Medicare

The contracted insurance negotiated median rate for a X-ray, chest (single view) at Alton Memorial Hospital is $256. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $261. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 2.88x the Medicare baseline. Located in One Memorial Drive, Alton, IL.

Cash / Self-Pay

$261

Average discount available for prompt cash payment at this facility.

Insurance Median

$256

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: $261 (294%)

Insurance Median: $256 (288%)

Cash: $261 (294% of Medicare)

Ins. Median: $256 (288% 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 288% of the Medicare baseline (a markup of 188%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
Consociate [478]	$30	34%
Sarah Bush Lincoln [636]	$30	34%
Blue Cross Blue Shield	$32 - $378	36%
Cigna	$54 - $348	61%
Aetna	$59 - $326	66%
Allied Benefits [498]	$59 - $323	66%
Coresource [497]	$59	66%
Fmh Benefit Service Inc [222]	$59	66%
Mail Handlers [495]	$59	66%
Apwu Health Plan [216]	$60	67%
Nalc Health Benefit Plan [242]	$60	67%
Priority Health [648]	$60	67%
Humana	$93 - $242	105%
UnitedHealthcare	$93 - $323	105%
Essence Healthcare [221]	$96	108%
Cox Health [757]	$98	110%
Devoted Health Plan [847]	$98	110%
Medica [662]	$98	110%
Healthlink [225]	$211 - $328	237%
Cox Health Systems Insurance Company [220]	$239 - $283	269%
Health Alliance [224]	$239	269%
Hope Trust [806]	$252	283%
Med-Pay [480]	$283 - $326	318%
Unicare [568]	$283 - $328	318%
Healthscope Benefits [258]	$296	333%
First Health Commercial [734]	$323	363%
Beechstreet [551]	$326	367%
Detego Health [868]	$326	367%
Health Systems Inc [620]	$326	367%
Healthcare Sol Mercy [609]	$326	367%
Multiplan Commercial [737]	$326	367%
Multiplan [240]	$326	367%
Phcs [244]	$326 - $348	367%
Preferred Health Professionals [561]	$328	369%
Hfn [563]	$348	391%
Medica [661]	$348	391%

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 $261.
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 Alton 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.