CMS Price Transparency Data

X-ray, chest (single view)

Facility: Hamilton Memorial Hospital

Billing Code: 71045 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 71045
Insurance Median: $157
Cash Discount Price: $174
vs. Medicare Baseline: 1.77x Medicare

The contracted insurance negotiated median rate for a X-ray, chest (single view) at Hamilton Memorial Hospital is $157. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $174. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.77x the Medicare baseline. Located in 611 S Marshall Avenue, McLeansboro, IL.

Cash / Self-Pay

$174

Average discount available for prompt cash payment at this facility.

Insurance Median

$157

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: $174 (196%)

Insurance Median: $157 (177%)

Cash: $174 (196% of Medicare)

Ins. Median: $157 (177% 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	$24 - $184	27%
Blue Cross Blue Shield	$24 - $186	27%
Health Alliance	$24 - $164	27%
Medicare (plans)	$24 - $82	27%
UnitedHealthcare	$24 - $147	27%
Wellcare	$24 - $82	27%
Medicaid / KanCare	$76 - $82	85%
Humana	$82	92%
Alliance Coal	$143	161%
Healthscope	$143	161%
Wellfirst (Ssmhic)	$143	161%
Hope Trust	$154	173%
Cigna	$161	181%
Hfn, Inc	$164 - $184	184%
Healthlink	$174 - $184	196%
Multiplan	$174	196%
Siho	$184	207%
Three Rivers Provider	$184	207%
Healthsmart	$195	219%
Stratose	$195	219%

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 $174.
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 Hamilton 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.