X-ray, chest (single view)
Facility: University Of Kansas Hospital
Billing Code: 71045 (CPT)
- CPT Billing Code: 71045
- Insurance Median: $229
- Cash Discount Price: $95
- vs. Medicare Baseline: 2.58x 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 258% of the Medicare baseline (a markup of 158%). 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 |
|---|---|---|
| Larned State Hospital [503200090] | $68 - $235 | 76% |
| Hchsync Centrus Health Direct [503999916] | $70 - $278 | 79% |
| Ku Athletics [503200094] | $81 | 91% |
| Devoted [503200068] | $81 | 91% |
| UnitedHealthcare | $81 - $130 | 91% |
| Tricare | $81 | 91% |
| Aetna | $81 - $114 | 91% |
| Humana | $81 - $83 | 91% |
| Medicare (plans) | $81 - $83 | 91% |
| Lasso Healthcare [503999926] | $81 | 91% |
| Workers Comp [503999901] | $81 - $755 | 91% |
| Triwest [503201703] | $81 | 91% |
| Allwell [503200078] | $84 | 94% |
| Blue Cross Blue Shield | $84 - $610 | 94% |
| American Health Plans [503200968] | $85 | 96% |
| Oscar [503201609] | $98 | 110% |
| Centurion [5032000966] | $106 | 119% |
| Health Plan Inc [503999941] | $109 - $374 | 123% |
| Accarent Health [503999034] | $116 - $398 | 130% |
| Alt Carelon Behavioral Health [503200905] | $116 - $398 | 130% |
| Wellfit [503301514] | $134 | 151% |
| Centivo [5032000982] | $134 | 151% |
| Ambetter / Centene | $138 | 155% |
| Php [503200005] | $139 - $588 | 156% |
| Allied National [503999937] | $139 - $477 | 156% |
| Geha [503200036] | $141 - $482 | 159% |
| Alt Wppa [5032000964] | $141 - $482 | 159% |
| Cerner [503200038] | $141 - $482 | 159% |
| Healthlink [503200007] | $141 - $588 | 159% |
| Med-Pay [503200040] | $141 - $482 | 159% |
| Inter-Americas Insurance [503999032] | $141 - $482 | 159% |
| 6 Degrees Health [503999050] | $142 - $203 | 160% |
| First Health [5032000110] | $153 - $524 | 172% |
| Aha-Healthcare Preferred [503200050] | $153 - $524 | 172% |
| Ascension Living Hope [503201517] | $162 - $556 | 182% |
| Correct Care Solutions [50311253] | $162 - $556 | 182% |
| Coeur Plan Services [503301517] | $162 - $556 | 182% |
| Consolidated Billing [50311256] | $162 - $556 | 182% |
| Occunet [503999930] | $171 | 192% |
| Fort Hays State Student Athletes [5032000960] | $171 | 192% |
| Orscheln Industries [503201608] | $174 - $596 | 196% |
| Empire Plan/Nyship [503200705] | $178 - $610 | 200% |
| Alt Lineco [5032000976] | $178 - $610 | 200% |
| Alt Lucent Health Solutions [503202603] | $178 - $610 | 200% |
| Quiktrip [5032000412] | $186 - $636 | 209% |
| Century Health Solutions [503200054] | $186 - $636 | 209% |
| Point Comfort Underwriters [503200018] | $186 - $636 | 209% |
| Cigna | $186 - $636 | 209% |
| Meritain Health [503200039] | $195 - $668 | 219% |
| Wppa [503200056] | $195 - $668 | 219% |
| Three Rivers Provider Network [503999029] | $209 - $716 | 235% |
| Sanford Health Plan [503999027] | $209 - $716 | 235% |
| Plan Care America [503999026] | $209 - $716 | 235% |
| Employers Health Network [503999025] | $209 - $716 | 235% |
| Usa Managed Care [503999030] | $209 - $716 | 235% |
| Claimdoc [503301509] | $219 | 246% |
| Multiplan [503200057] | $219 | 246% |
| Advanced Medical Pricing Solutions [503301513] | $244 | 274% |
Consumer Guidance & Cost Commentary
For the CPT code 71045, representing a chest X-ray, the University of Kansas Hospital lists a gross charge of $477.00, which is significantly higher than the facility's cash median of $95.00. While the hospital's negotiated rates range from $68 to $755 depending on the payer, these amounts often exceed the cash price, meaning patients with high-deductible plans or those without insurance may save money by paying the cash rate directly. The facility is located in Kansas City, KS, and its pricing data reflects a government-owned hospital district. Consumers should explicitly ask for self-pay or prompt-pay discounts before scheduling, as paying upfront can bypass the administrative costs and higher negotiated rates that insurance carriers pay.
When comparing this service to federal benchmarks, the Medicare amount for this procedure is $88.91. The facility's cash median of $95.00 is only slightly above the Medicare rate, suggesting a pricing structure that is relatively fair compared to the commercial negotiated rates which can reach up to $755. It is important to note that while the No Surprises Act protects patients from balance billing for emergency services at in-network facilities, unexpected ancillary services or out-of-network providers could still result in additional charges. To ensure accuracy and avoid errors, patients should request a full itemized bill rather than accepting a summary invoice, as over 80% of hospital bills contain mistakes such as double-billing or unbundled codes that can be corrected through a formal audit.