CMS Price Transparency Data

X-ray, chest (single view)

Facility: Fayette County Hospital

Billing Code: 71045 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 71045
Insurance Median: $111
Cash Discount Price: $210
vs. Medicare Baseline: 1.25x Medicare

The contracted insurance negotiated median rate for a X-ray, chest (single view) at Fayette County Hospital is $111. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $210. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.25x the Medicare baseline. Located in 650 W Taylor St, Vandalia, IL.

Cash / Self-Pay

$210

Average discount available for prompt cash payment at this facility.

Insurance Median

$111

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: $210 (236%)

Insurance Median: $111 (125%)

Cash: $210 (236% of Medicare)

Ins. Median: $111 (125% 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	$8 - $255	9%
Health Alliance Mcare	$8 - $118	9%
Healthlink Mcr Adv	$8 - $118	9%
Cigna	$10 - $277	11%
Coventry/Ghp-All Plans	$11 - $240	12%
Multiplan - All Plans	$15 - $314	17%
Health Alliance - All Other Plans	$17 - $305	19%
Blue Cross Blue Shield	$20 - $310	22%
Illinicare - All Plans	$35 - $111	39%
Medicaid / KanCare	$35 - $111	39%
Meridian-All Plans	$35 - $111	39%
UnitedHealthcare	$42 - $306	47%
Healthlink Hmo	$43 - $258	48%
Healthlink Ppo - All Other Plans	$43 - $295	48%
Humana	$118	133%

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 $210.
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 Fayette County 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.