X-ray, chest (single view)
Facility: Providence Medical Center
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 - Fka Compresults Worker Compensation | $16 | 18% |
| Oha Networks | $17 | 19% |
| Worker Compensation | $17 | 19% |
| Aetna | $33 - $82 | 37% |
| Medicaid / KanCare | $49 | 55% |
| UnitedHealthcare | $74 - $115 | 83% |
| Celtic | $75 - $131 | 84% |
| Healthy Blue | $75 - $86 | 84% |
| Cigna | $82 | 92% |
| Medicare (plans) | $82 | 92% |
| Midland Care Connection | $82 | 92% |
| Tricare | $82 | 92% |
| Kansas Superior Select | $86 | 97% |
| Corizon | $107 | 120% |
| Employer Direct Healthcare | $115 | 129% |
| Well Path Prison | $115 | 129% |
| Centurion | $123 | 138% |
| Naphcare | $127 | 143% |
| Blue Cross Blue Shield | $131 - $212 | 147% |
| First Health | $743 | 836% |
Consumer Guidance & Cost Commentary
For the CPT code 71045, representing a chest X-ray at Providence Medical Center in Kansas City, KS, the facility's cash median rate is $81.00, which is significantly lower than the state average of $153.00. While the facility's negotiated rates for commercial payers range from $16 to $212, these amounts often exceed the cash price due to administrative costs and contract structures. Patients with high-deductible plans may find it financially advantageous to pay the cash rate directly, as the $81.00 self-pay price is lower than many commercial negotiated rates. To secure the best possible price, it is recommended to contact the hospital directly to inquire about "self-pay" or "prompt-pay" discounts, which can further reduce the final amount owed.
When reviewing your bill, ensure you receive a detailed itemized statement rather than a summary invoice, as over 80% of hospital bills contain errors such as unbundled codes or services not rendered. Comparing your facility's pricing to the Medicare benchmark of $88.91 reveals that the cash rate of $81.00 is slightly below the federal baseline, indicating a competitive price point. If you are billed more than the negotiated rate, you may be subject to balance billing if your insurance does not cover the full amount, though the No Surprises Act protects you from such charges for emergency services at in-network facilities. Always verify your deductible status before scheduling, as paying the cash rate may be necessary if your insurance has not yet met your out-of-pocket threshold.