CMS Price Transparency Data

X-ray, chest (single view)

Facility: Palos Community Hospital

Billing Code: 71045 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 71045
Insurance Median: $576
Cash Discount Price: $538
vs. Medicare Baseline: 6.48x Medicare

The contracted insurance negotiated median rate for a X-ray, chest (single view) at Palos Community Hospital is $576. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $538. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 6.48x the Medicare baseline. Located in 12251 South 80Th Avenue, Palos Heights, IL.

Cash / Self-Pay

$538

Average discount available for prompt cash payment at this facility.

Insurance Median

$576

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: $538 (605%)

Insurance Median: $576 (648%)

Cash: $538 (605% of Medicare)

Ins. Median: $576 (648% 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 648% of the Medicare baseline (a markup of 548%). 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
Blue Cross Blue Shield	$123 - $768	138%
Aetna	$165 - $768	186%
Carelon Behavioral Health [159]	$384	432%
Healthlink [125]	$384 - $768	432%
First Health Plan [6034]	$436 - $576	490%
Magellan Behavioral Hlth [136]	$461	519%
The Alliance [1703]	$493	554%
Compsych [112]	$576	648%
Beechstreet [176]	$614	691%
Cigna	$614 - $768	691%
Health'S Finest Network [126]	$653	734%
Galaxy Health Network [220]	$768	864%
Global Excel [1712]	$768	864%
Health Alliance [181]	$768	864%
Multiplan/Phcs [142]	$768	864%
UnitedHealthcare	$768	864%

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 $538.
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 Palos Community 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.