CMS Price Transparency Data

X-ray, chest (single view)

Facility: Goshen Hospital

Billing Code: 71045 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 71045
  • Insurance Median: $813
  • Cash Discount Price: $214
  • vs. Medicare Baseline: 9.14x Medicare
The contracted insurance negotiated median rate for a X-ray, chest (single view) at Goshen Hospital is $813. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $214. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 9.14x the Medicare baseline. Located in 200 High Park Ave, Goshen, IN.
Cash / Self-Pay
$214

Average discount available for prompt cash payment at this facility.

Insurance Median
$813

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: $214 (241%)
Insurance Median: $813 (914%)
Cash: $214 (241% of Medicare)
Ins. Median: $813 (914% 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 914% of the Medicare baseline (a markup of 814%). 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
All Savers $221 249%
Golden Rule Insurance 2Nd $221 249%
Oxford Health $221 249%
Uhclic $221 249%
Uhss $221 249%
UnitedHealthcare $221 - $813 249%
Bc Allied $288 324%
Blue Cross Blue Shield $288 - $813 324%
Advantage Health Solutions $813 914%
Aetna $813 914%
Atrio Health Plans $813 914%
Bc Federal Employee $813 914%
Bc Mcr Advantage Ppo $813 914%
Buckeye Health Plan $813 914%
Cigna $813 914%
Coventry Health And Life $813 914%
Emblem Health $813 914%
Freedom Healthcare $813 914%
Geisinger Health Plan $813 914%
Health First $813 914%
Healthspring $813 914%
Humana $813 914%
Iehp Empire Health Plan $813 914%
Independent Care Health Plan $813 914%
Kaiser Permanente $813 914%
Mcr Advantra Freedom $813 914%
Mcr Allwell Mhs $813 914%
Mcr Banner Health $813 914%
Mcr Complete $813 914%
Mcr Complete Ppo $813 914%
Mcr Complete Wellmed $813 914%
Mcr Health Alliance $813 914%
Mcr Health Partners Plans $813 914%
Mcr Medical Mutual Of Ohio $813 914%
Mcr Passport Advantage $813 914%
Mcr Secure Horizons Ppo $813 914%
Mcr Texan Plus $813 914%
Mcr Upmc For Life $813 914%
Medicare (plans) $813 - $861 914%
Meridian Complete $813 914%
Optimum Healthcare $813 914%
Paramount Elite $813 914%
Primetime Health Plan $813 914%
Simply Complete Hmo $813 914%
The Umwa H&R Funds $813 914%
Todays Options Pyramid Life $813 914%
Trillium Advantage $813 914%
Ucare For Seniors $813 914%
Ucare Minnesota $813 914%
Wellcare $813 914%
Champva $836 940%
Tricare $836 940%
Mcr Devoted Health Plan $861 968%
Mcr Provider Partners Hlth Pln $920 1035%
Ambetter / Centene $1,171 1317%
Mkt Caresource $1,171 1317%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 200 High Park Ave, Goshen, IN 46526
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals