CMS Price Transparency Data

X-ray, chest (single view)

Facility: University Of Kansas Hospital

Billing Code: 71045 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 71045
  • Insurance Median: $229
  • Cash Discount Price: $95
  • vs. Medicare Baseline: 2.58x Medicare
The contracted insurance negotiated median rate for a X-ray, chest (single view) at University Of Kansas Hospital is $229. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $95. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 2.58x the Medicare baseline. Located in 4000 Cambridge Street, Kansas City, KS.
Cash / Self-Pay
$95

Average discount available for prompt cash payment at this facility.

Insurance Median
$229

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: $95 (107%)
Insurance Median: $229 (258%)
Cash: $95 (107% of Medicare)
Ins. Median: $229 (258% 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 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.

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
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.

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 4000 Cambridge Street, Kansas City, KS 66160
  • CMS Rating: ★★★★★
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals