CMS Price Transparency Data

X-ray, chest (single view)

Facility: Anderson Hospital

Billing Code: 71045 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 71045
Insurance Median: $318
Cash Discount Price: $266
vs. Medicare Baseline: 3.58x Medicare

The contracted insurance negotiated median rate for a X-ray, chest (single view) at Anderson Hospital is $318. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $266. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 3.58x the Medicare baseline. Located in 6800 State Route 162, Maryville, IL.

Cash / Self-Pay

$266

Average discount available for prompt cash payment at this facility.

Insurance Median

$318

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: $266 (299%)

Insurance Median: $318 (358%)

Cash: $266 (299% of Medicare)

Ins. Median: $318 (358% 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 358% of the Medicare baseline (a markup of 258%). 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
Health Care Service Corporation	$20 - $279	22%
Humana	$24 - $4,765	27%
Medicare (plans)	$24 - $4,765	27%
Tricare	$24 - $4,570	27%
UnitedHealthcare	$24 - $4,765	27%
Aetna	$27 - $4,765	30%
Medicaid / KanCare	$70	79%
Essence	$93 - $5,008	105%
Devoted Health Ppo	$94 - $4,860	106%
Clear Springs Health	$95 - $4,908	107%
Ambetter / Centene	$135 - $7,049	152%
Blue Choice	$135 - $7,049	152%
Self Pay	$227 - $25,000	255%
Hopetrust	$233 - $12,154	262%
Work Comp	$242 - $26,600	272%
Blue Cross Blue Shield	$244 - $339	274%
Healthlink	$282 - $427	317%
Mercy Aco	$295 - $396	332%
Mercy Benefit Admin	$295 - $396	332%
Cigna	$318 - $427	358%
Multiplan/Phcs	$341 - $457	384%
Beech Street Corporation	$409 - $548	460%

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 $266.
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 Anderson 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.