CMS Price Transparency Data
X-ray, chest (single view)
Facility: Saint Joseph Regional Medical Center - Plymouth
Billing Code: 71045 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 71045
- Insurance Median: $372
- Cash Discount Price: $3,500
- vs. Medicare Baseline: 4.18x Medicare
The contracted insurance negotiated median rate for a X-ray, chest (single view) at Saint Joseph Regional Medical Center - Plymouth is $372. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,500. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 4.18x the Medicare baseline. Located in 1915 Lake Ave, Plymouth, IN.
Cash / Self-Pay
$3,500
Average discount available for prompt cash payment at this facility.
Insurance Median
$372
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: $3,500 (3937%)
Insurance Median: $372 (418%)
Cash: $3,500 (3937% of Medicare)
Ins. Median: $372 (418% 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 418% of the Medicare baseline (a markup of 318%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.
Out-of-Pocket Cost Estimator
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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 | $48 - $5,178 | 54% |
| Blue Cross Blue Shield | $48 - $11,794 | 54% |
| Medicaid / KanCare | $48 - $4,316 | 54% |
| UnitedHealthcare | $48 - $4,316 | 54% |
| Medicare (plans) | $92 - $3,407 | 103% |
| Meridian Complete | $92 - $3,341 | 103% |
| Pace-Trinity Health | $92 - $3,341 | 103% |
| County Coroner | $96 - $3,474 | 108% |
| Provider Partners Health Plan Of Indiana | $101 - $3,675 | 114% |
| Plain Church Group | $112 | 126% |
| Auxiant | $138 - $7,182 | 155% |
| Physicians Health Plan Northern Indiana Health Insurance | $138 - $10,089 | 155% |
| St Joseph County Hlth Dpt | $138 - $5,011 | 155% |
| Caresource | $143 - $5,178 | 161% |
| Siho Insurance Services | $147 - $5,345 | 165% |
| Key Benefit Administrator | $166 - $7,182 | 187% |
| Allied Benefit Systems | $175 - $6,347 | 197% |
| Custom Design Benefits | $198 - $7,182 | 223% |
| Notre Dame Athletic Association | $227 | 255% |
| Wc Notre Dame | $227 | 255% |
| Luminare Health (Detroit) | $235 - $248 | 264% |
| Managed Health Services - Indiana | $242 - $4,316 | 272% |
| Mdwise | $242 - $4,316 | 272% |
| Ameriben | $248 | 279% |
| Geha | $263 | 296% |
| Healthscope | $263 | 296% |
| Student Insurance Cma | $263 | 296% |
| Asr Health Benefits | $268 | 301% |
| Christian Brother Services | $268 | 301% |
| Employee Benefit Management | $268 | 301% |
| Medical Mutual | $268 | 301% |
| Meritain | $268 | 301% |
| Preferred One | $268 | 301% |
| Rural Carrier Health Benefit Plan | $268 | 301% |
| Webtpa | $268 | 301% |
| Encore Health | $290 | 326% |
| Indiana Criminal Justice Inst | $290 | 326% |
| Western & Southern Financial Group | $290 | 326% |
| Cigna | $297 | 334% |
| Group Administrators | $297 | 334% |
| Health Partners | $297 | 334% |
| Mvp | $297 | 334% |
| Prairie States | $297 | 334% |
| Priority Health | $297 | 334% |
| Professional Benefit Administrators | $297 | 334% |
| Sagamore Health Network | $297 - $318 | 334% |
| Sisco Benefits | $297 | 334% |
| Unified Group Services | $297 | 334% |
| Goshen Preferred Network | $318 - $355 | 358% |
| Blue Benefit Administrators Of Massachusetts | $325 - $11,794 | 366% |
| Blue Care Network | $325 - $11,794 | 366% |
| Blue Distinction Transplant | $325 - $11,794 | 366% |
| Blue Shield - Ca | $325 - $11,794 | 366% |
| Blue Shield - Id (Regence) | $325 - $11,794 | 366% |
| Blue Shield - Ny Highmark Northeastern | $325 - $11,794 | 366% |
| Blue Shield - Ny Highmark Western | $325 - $11,794 | 366% |
| Blue Shield - Pa (Highmark) | $325 - $11,794 | 366% |
| Blue Shield - Wa (Regence) | $325 - $11,794 | 366% |
| Signature Care | $343 | 386% |
| Allied National Global Care | $372 | 418% |
| Asrm - Reliance Standard Life Insurance | $372 | 418% |
| Avmed Health Plan | $372 | 418% |
| Christian Care Ministry | $372 | 418% |
| Dean Health | $372 | 418% |
| Fallon Health | $372 | 418% |
| Family Life Insurance Company | $372 | 418% |
| Freedom Life Insurance Company | $372 | 418% |
| Ghc Scw | $372 | 418% |
| International Benefit Administrators | $372 | 418% |
| Lifetime Benefit Solutions | $372 | 418% |
| Manhattan Life | $372 | 418% |
| Medi Share | $372 | 418% |
| Multiplan | $372 | 418% |
| Pai | $372 | 418% |
| Pan-American Life | $372 | 418% |
| Paramount Hmo | $372 | 418% |
| Phcs | $372 | 418% |
| Philadelphia American Life Insurance | $372 | 418% |
| Trinity Health Share | $372 | 418% |
| Bankers Life Casualty | $413 | 465% |
| Bureau Of Disability | $413 | 465% |
| Wc Align Network | $413 | 465% |