CMS Price Transparency Data

X-ray, chest (single view)

Facility: Ann & Robert H Lurie Childrens Hospital of Chicago

Billing Code: 71045 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 71045
  • Insurance Median: $494
  • Cash Discount Price: $433
  • vs. Medicare Baseline: 5.56x Medicare
The contracted insurance negotiated median rate for a X-ray, chest (single view) at Ann & Robert H Lurie Childrens Hospital of Chicago is $494. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $433. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 5.56x the Medicare baseline. Located in 225 E Chicago Ave, Box 140, Chicago, IL.
Cash / Self-Pay
$433

Average discount available for prompt cash payment at this facility.

Insurance Median
$494

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: $433 (487%)
Insurance Median: $494 (556%)
Cash: $433 (487% of Medicare)
Ins. Median: $494 (556% 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 556% of the Medicare baseline (a markup of 456%). 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
Medicare (plans) $105 - $2,656 118%
Mercycare Health $229 258%
Cigna $260 - $439 292%
Blue Cross Blue Shield $268 - $494 301%
Aetna $309 - $484 348%
Beacon Health Options $309 348%
La Rabida Childrens Hospital $309 348%
Centegra $371 417%
Independent Physicians At Mercy $371 417%
Advanced Physicians Association Ipa $433 487%
Health Plus $433 487%
Imagine Health $433 487%
Methodist First Choice $433 487%
Northwest Community Healthcare $433 487%
Presence Health Partners $433 487%
St. Francis $433 487%
Ui Health $433 487%
West Suburban Health Providers $433 487%
Shriners Hospital $464 522%
Swedish Covenant Physician Partners $464 522%
American Psych Systems $494 556%
Health Alliance $494 556%
Macneal Health $494 556%
Magellan $494 - $900 556%
Healthlink Inc. $510 574%
Cofinity $525 590%
Hfn Inc $525 - $556 590%
Humana $525 590%
Principal Healthcare $525 590%
St. Elizabeth $525 590%
First Health $544 612%
Healthstar $544 612%
Preferred Health Network $544 612%
Sagamore Health Network $544 612%
UnitedHealthcare $554 - $597 623%
Beech Street $556 625%
Benchmark Health $556 625%
Employer'S Coalition On Health $556 625%
Private Health Care System $556 625%
Security Health Plan $556 625%
Swedish American $556 625%
Wellmark/Healthnetwork $569 640%
Health Smart $587 660%
Integrated Health Plan $587 660%
Multiplan $587 660%
National Provider Network $587 660%
Wea Insurance Group $587 660%
Unicare $3,678 - $8,500 4137%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 225 E Chicago Ave, Box 140, Chicago, IL 60611
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Childrens