CMS Price Transparency Data

X-ray, chest (single view)

Facility: HSHS St Elizabeth's Hospital

Billing Code: 71045 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 71045
  • Insurance Median: $314
  • Cash Discount Price: $346
  • vs. Medicare Baseline: 3.53x Medicare
The contracted insurance negotiated median rate for a X-ray, chest (single view) at HSHS St Elizabeth's Hospital is $314. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $346. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 3.53x the Medicare baseline. Located in One St Elizabeth Boulevard, O Fallon, IL.
Cash / Self-Pay
$346

Average discount available for prompt cash payment at this facility.

Insurance Median
$314

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: $346 (389%)
Insurance Median: $314 (353%)
Cash: $346 (389% of Medicare)
Ins. Median: $314 (353% 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 353% of the Medicare baseline (a markup of 253%). 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
Illinois Breast And Cervical Cancer Program $18 20%
Molina Healthcare $51 - $103 57%
Meridian Health Plan $54 61%
Aetna $88 - $338 99%
Blue Cross Blue Shield $88 - $480 99%
Clear Spring Health Of Illinois $88 - $98 99%
Health Alliance Medical Plans $88 - $408 99%
Health Partners $88 - $98 99%
Humana $88 - $98 99%
UnitedHealthcare $88 - $480 99%
Sae Hospice $98 110%
Amish Community $134 151%
Celtic Insurance Company $196 220%
Naphcare $213 240%
Hopetrust $236 265%
Claim Doc $246 277%
Wellfirst $309 348%
First Health $357 402%
Cigna $379 - $480 426%
Healthlink $382 - $480 430%
Caterpillar, Inc. $385 433%
Consociate Group $422 475%
Choicecare $432 486%
Healthcare Finest Network (Hfn) $432 486%
Multiplan/Phcs $432 486%
Provider Network Of America $432 486%
City Of Springfield $480 540%
Current Health Solutions $480 540%
Healthscope $480 540%
Interplan $480 540%
Live360 $480 540%
Wexford $480 540%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: One St Elizabeth Boulevard, O Fallon, IL 62269
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals