CMS Price Transparency Data

X-ray, chest (single view)

Facility: Bluffton Regional Medical Center

Billing Code: 71045 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 71045
  • Insurance Median: $61
  • Cash Discount Price: $33
  • vs. Medicare Baseline: 0.69x Medicare
The contracted insurance negotiated median rate for a X-ray, chest (single view) at Bluffton Regional Medical Center is $61. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $33. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 0.69x the Medicare baseline. Located in 303 S Main St, Bluffton, IN.
Cash / Self-Pay
$33

Average discount available for prompt cash payment at this facility.

Insurance Median
$61

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: $33 (37%)
Insurance Median: $61 (69%)
Cash: $33 (37% of Medicare)
Ins. Median: $61 (69% 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.

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
Amish Aid $5 - $167 6%
Physicians Health Plan $5 - $169 6%
Self Pay $5 - $383 6%
Cigna $7 - $246 8%
Lutheran Preferred Network $7 - $557 8%
Php $7 - $222 8%
Php Freedom Network $7 - $73 8%
Aetna $8 - $310 9%
Php Management Systems $9 - $269 10%
Lutheran Trma $10 - $313 11%
UnitedHealthcare $10 - $344 11%
Encore Ppo $11 - $340 12%
Sagamore Sebt $11 - $356 12%
Sagamore Health Newtork Inc $12 - $373 13%
Ahg Dana Employees $14 - $452 16%
Consumer Life $14 - $432 16%
Align Networks $15 - $487 17%
Prime Health Services $16 - $522 18%
Private Healthcare Systems Inc $16 - $522 18%
Advantage 360 $18 - $578 20%
Encore Health Network $18 - $626 20%
Multiplan $18 - $557 20%
Community Health Alliance $19 - $592 21%
First Health $19 - $599 21%
Allied Benefit Systems $20 - $626 22%
Cardinal Health Alliance $20 - $626 22%
Ppom $20 - $626 22%
Veterans Eval Services $22 - $80 25%
Tricare $87 98%
Blue Cross Blue Shield $91 - $378 102%
Medicare (plans) $91 102%
Node Iu Health Mcr Adv $91 102%
Node Mhs Mcr Adv $91 102%
Department Of Veterans Affairs $92 103%
Humana $92 - $242 103%
Node Caresource Mcr Adv $92 103%
Node Devoted Health Mcr Adv $92 103%
Node Non Par Hospice Agree $92 103%
Node Va $92 103%
Northeast Hospice $92 103%
County Jail Health Care $96 108%
In Dept Of Correction $96 108%
Node Pphp Mcr Adv $97 109%
Us Department Of Labor $115 129%
Lutheran Advanced Network $138 155%
Lutheran Three Rivers Preferred Plus 150 $138 155%
Lutheran Three Rivers Preferred Plus 175 $161 181%
Encore Work Comp In $166 187%
Lutheran Northwest Health Preferred $184 207%
Managed Health Services Exchange $184 207%
Workers Compensation $184 207%
Encore Kba Epo $221 249%
Caresource $242 272%
Medicaid / KanCare $242 272%
Mhs $242 272%
Mhs In Hip $242 272%
Encore Kba Ppo $276 310%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 303 S Main St, Bluffton, IN 46714
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals