CMS Price Transparency Data

X-ray, chest (single view)

Facility: UW Health

Billing Code: 71045 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 71045
Insurance Median: $36
Cash Discount Price: $22
vs. Medicare Baseline: 0.40x Medicare

The contracted insurance negotiated median rate for a X-ray, chest (single view) at UW Health is $36. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $22. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 0.40x the Medicare baseline. Located in 1401 East State Street, Rockford, IL.

Cash / Self-Pay

$22

Average discount available for prompt cash payment at this facility.

Insurance Median

$36

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: $22 (25%)

Insurance Median: $36 (40%)

Cash: $22 (25% of Medicare)

Ins. Median: $36 (40% 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
Aetna	$11 - $346	12%
Blue Cross Blue Shield	$11 - $237	12%
Medicaid / KanCare	$11 - $100	12%
Humana	$16 - $89	18%
Medicare (plans)	$16 - $98	18%
Mychoice Wi Medical Adv	$16 - $89	18%
UnitedHealthcare	$16 - $369	18%
Quartz Aso	$25 - $262	28%
Quartz Fully Insured	$25 - $166	28%
Cigna	$26 - $383	29%
Alliance Premier Network	$34 - $262	38%
The Alliance	$37 - $337	42%
Wps	$40 - $70	45%
Beloit Healt System	$46 - $433	52%
Mercy Care	$56 - $98	63%
Ecoh	$80 - $377	90%
Hfn	$80 - $377	90%
Workers Comp	$80	90%
Wps Ppo	$371	417%
Mercycare	$448	504%
First Health/Coventry	$471	530%
Health Payment Systems	$560	630%
Healthsmart	$560	630%
Sheboygan Employers Health Network	$597	671%
Multiplan	$667	750%

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 $22.
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 UW Health 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.