CMS Price Transparency Data

X-ray, chest (single view)

Facility: Norton-King's Daughters' Health

Billing Code: 71045 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 71045
Insurance Median: $309
Cash Discount Price: $87
vs. Medicare Baseline: 3.48x Medicare

The contracted insurance negotiated median rate for a X-ray, chest (single view) at Norton-King's Daughters' Health is $309. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $87. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 3.48x the Medicare baseline. Located in 1373 East Sr 62, Madison, IN.

Cash / Self-Pay

$87

Average discount available for prompt cash payment at this facility.

Insurance Median

$309

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: $87 (98%)

Insurance Median: $309 (348%)

Cash: $87 (98% of Medicare)

Ins. Median: $309 (348% 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 348% of the Medicare baseline (a markup of 248%). 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
Aetna	$7 - $347	8%
Blue Cross Blue Shield	$17 - $291	19%
Humana	$17 - $92	19%
Managed Health Services Of Kentucky	$17	19%
Passport By Molina	$17	19%
Managed Health Services Of Indiana	$62	70%
UnitedHealthcare	$62 - $309	70%
Managed Health Services	$95 - $143	107%
Caresource Of Kentucky	$129	145%
Caresource Of Indiana	$138	155%
Custom Design Benefits	$184 - $197	207%
Cigna	$335	377%
Encore	$335	377%
Quality Care Partners	$351	395%
Bluegrass	$355	399%
First Health	$355	399%
Healthlink	$355	399%
Vha/Tristate	$355	399%
Multiplan/Phcs	$362	407%
Indiana Health Network	$374	421%
Siho	$374	421%

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 $87.
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 Norton-King's Daughters' Health 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.