X-ray, chest (single view)
Facility: Nmc Health
Billing Code: 71045 (CPT)
- CPT Billing Code: 71045
- Insurance Median: $168
- Cash Discount Price: $188
- vs. Medicare Baseline: 1.89x 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 |
|---|---|---|
| Bluestem Pace | $84 | 94% |
| Blue Cross Blue Shield | $124 | 139% |
| Medicaid / KanCare | $134 | 151% |
| Leading Age | $134 | 151% |
| Wppa | $148 | 166% |
| Occunet | $161 | 181% |
| Samaritan Ministries International | $175 | 197% |
| Medincrease Health Plan | $175 | 197% |
| Prime Health Services | $202 | 227% |
| Aetna | $222 | 250% |
| UnitedHealthcare | $242 | 272% |
| Cigna | $256 | 288% |
Consumer Guidance & Cost Commentary
For patients paying out-of-pocket, the most critical information is that the cash price for this X-ray, chest (single view) procedure at Nmc Health in Newton, KS is $188. Because commercial insurance negotiated rates often exceed cash prices due to administrative overhead and contract dynamics, self-pay patients with high-deductible plans may save money by paying directly rather than relying on insurance coverage. It is essential to verify if the facility offers "self-pay" or "prompt-pay" discounts, which can further reduce the total cost before any claim is submitted.
When comparing rates against the broader market, the facility's cash price of $188 is notably lower than the state average of $168 for this specific service. While the gross chargemaster rate listed for the procedure is $269, the actual cost to a patient without insurance remains the cash rate of $188. Although the facility is a voluntary non-profit acute care hospital with a 5-star rating, patients should be aware that Medicare allows a reimbursement rate of $88.91 for this code, and commercial payers negotiate rates ranging from $84 to $256 depending on the specific insurance plan.