X-ray, chest (single view)
Facility: University Of Kansas Health System - St Francis Campus
Billing Code: 71045 (CPT)
- CPT Billing Code: 71045
- Insurance Median: $374
- Cash Discount Price: $194
- vs. Medicare Baseline: 4.21x 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.
Elevated Commercial Rate Alert (Value-Gap)
The negotiated rate at this facility is 421% of the Medicare baseline (a markup of 321%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.
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 |
|---|---|---|
| Aetna | $265 | 298% |
| Black Lung [6055] | $265 | 298% |
| Lucent Health [6000] | $265 | 298% |
| Web Tpa [2115] | $265 | 298% |
| Oncology Patient Assistance Programs [2295] | $265 | 298% |
| Healthcare Highways [2210] | $265 | 298% |
| Blue Cross Blue Shield | $265 | 298% |
| Hooray Health [8000] | $265 | 298% |
| Department Of Corrections [1340] | $324 | 364% |
| National Association Of Letter Carriers [1695] | $374 | 421% |
| Cigna | $374 | 421% |
| American Postal Workers Union [1070] | $374 | 421% |
| Healthpartners [1500] | $374 | 421% |
| Humana | $382 | 430% |
| First Health [1375] | $503 | 566% |
| American Healthcare [1055] | $503 | 566% |
| Administrative Concepts [1005] | $503 | 566% |
| Multiplan [1680] | $503 | 566% |
| Geha [1415] | $528 | 594% |
| Healthscope Benefits [2290] | $528 | 594% |
| UnitedHealthcare | $528 | 594% |
| Coventry Healthcare [1320] | $531 | 597% |
| Ks Disability Determination [6090] | $647 | 728% |
Consumer Guidance & Cost Commentary
For the CPT code 71045, representing a chest X-ray, the University of Kansas Health System - St Francis Campus in Topeka, KS, lists a gross charge of $647.00. This amount is significantly higher than the facility's cash median of $194.00 and the Medicare benchmark of $88.91. While the facility's negotiated rates for in-network payers average $374.00, which is lower than the gross charge, these rates still exceed the cash price. Patients with high-deductible plans or those without insurance may find the cash price of $194.00 more affordable than the negotiated rates, provided they can secure a self-pay or prompt-pay discount directly from the hospital before scheduling.
It is important to understand that insurance negotiated rates often include administrative costs and do not reflect the true cost of care, which is better represented by the Medicare benchmark. Since the facility is a voluntary non-profit church-owned hospital, patients should verify their specific plan's allowed amount, as some commercial payers may negotiate rates that differ from the facility's general average. If you receive a bill that appears to include balance billing for out-of-network services at this in-network facility, you may be protected under the No Surprises Act, which bans such unexpected charges for emergency and non-emergency care. Always request an itemized bill to ensure no unbundled codes or services not rendered are included, and consider disputing any discrepancies in writing rather than accepting summary invoices.