CMS Price Transparency Data

X-ray, chest (single view)

Facility: Northwest Health - Starke

Billing Code: 71045 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 71045
  • Insurance Median: $99
  • Cash Discount Price: $53
  • vs. Medicare Baseline: 1.11x Medicare
The contracted insurance negotiated median rate for a X-ray, chest (single view) at Northwest Health - Starke is $99. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $53. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.11x the Medicare baseline. Located in 102 E Culver Rd, Knox, IN.
Cash / Self-Pay
$53

Average discount available for prompt cash payment at this facility.

Insurance Median
$99

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: $53 (60%)
Insurance Median: $99 (111%)
Cash: $53 (60% of Medicare)
Ins. Median: $99 (111% 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
Lutheran $14 - $94 16%
Self Pay $14 - $191 16%
Medpartners $17 - $117 19%
Physicians Health Plan $21 - $144 24%
Alpha Baking $22 - $157 25%
One Call $24 27%
Php $30 - $209 34%
Encore $32 - $303 36%
UnitedHealthcare $35 - $246 39%
Multiplan Inc $40 - $313 45%
Aetna $41 - $301 46%
Cigna $42 - $289 47%
Coventry First Health $43 - $301 48%
Lutheran Network $44 - $306 49%
Sagamore Health Network $44 - $306 49%
Community Health Alliance $45 - $313 51%
Ppom $47 - $327 53%
Managed Health Services $50 - $242 56%
Tricare $87 98%
Node Champva $92 103%
Blue Cross Blue Shield $97 - $370 109%
Humana $97 - $242 109%
Medicare (plans) $97 109%
Node Devoted Health Mcr Adv $99 111%
Node Hospice Non Par Agree $99 111%
Node Va $99 111%
In Dept Of Correction $103 116%
Node Pphp Mcr Adv $104 117%
Us Department Of Labor $123 138%
Caresource $186 - $242 209%
Indiana Workers Comp $197 222%
Encore Kba Epo $237 267%
Magnacare Ma $237 267%
Medicaid / KanCare $242 272%
Mhs $242 272%
Encore Kba Ppo $296 333%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 102 E Culver Rd, Knox, IN 46534
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals