X-ray, chest (single view)
Facility: Saint John Hospital
Billing Code: 71045 (CPT)
- CPT Billing Code: 71045
- Insurance Median: $82
- Cash Discount Price: $81
- vs. Medicare Baseline: 0.92x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. 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.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Comp Alliance Workers Comp | $16 | 18% |
| Worker Compensation | $17 | 19% |
| Oha Networks | $17 | 19% |
| Aetna | $33 - $82 | 37% |
| Medicaid / KanCare | $49 | 55% |
| Blue Cross Blue Shield | $59 - $124 | 66% |
| UnitedHealthcare | $74 - $115 | 83% |
| Healthy Blue | $75 - $86 | 84% |
| Celtic | $75 - $131 | 84% |
| Cigna | $82 | 92% |
| Medicare (plans) | $82 | 92% |
| Tricare | $82 | 92% |
| Midland Care Connection | $82 | 92% |
| Kansas Superior Select | $84 | 94% |
| Well Path | $115 | 129% |
| Employer Direct Healthcare | $115 | 129% |
| Corizon | $115 | 129% |
| Centurion | $123 | 138% |
| Naphcare | $127 | 143% |
Consumer Guidance & Cost Commentary
For the CPT code 71045, representing a chest X-ray, Saint John Hospital in Leavenworth, KS, lists a cash median price of $81.00, which is significantly lower than the facility's negotiated rates ranging from $16 to $131 across various payers. While the facility's cash price is notably lower than the gross charge of $742.00, patients should be aware that commercial insurance negotiated rates often exceed cash prices due to administrative overhead and contract structures. If you have a high-deductible plan, paying the cash price upfront may result in lower out-of-pocket costs compared to your insurance allowing a higher negotiated rate, provided you have not yet met your deductible. It is advisable to contact the hospital directly to confirm if "self-pay" or "prompt-pay" discounts are available, as these can further reduce the final amount owed.
When reviewing your bill, ensure you request a detailed itemized statement rather than accepting a summary invoice, as over 80% of hospital bills contain errors such as unbundled codes or services not rendered. Comparing this service to the Medicare benchmark of $88.91 reveals that the cash price is competitive, while the highest negotiated rates from payers like Celtic and UnitedHealthcare approach $131.00. To avoid balance billing or unexpected charges, verify that your provider is in-network and confirm your deductible status before scheduling. If you receive a bill that appears inflated, you have the right to dispute it in writing with the billing supervisor to correct any coding errors or double-charges.