X-ray, chest (single view)
Facility: Menorah Medical Center
Billing Code: 71045 (CPT)
- CPT Billing Code: 71045
- Insurance Median: $241
- Cash Discount Price: $1,284
- vs. Medicare Baseline: 2.71x 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 271% of the Medicare baseline (a markup of 171%). 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 |
|---|---|---|
| Multiplan | $14 - $950 | 16% |
| Corvel Corporation | $16 - $835 | 18% |
| Oha Network | $17 - $642 | 19% |
| Aetna | $18 - $655 | 20% |
| Blue Cross Blue Shield | $25 - $578 | 28% |
| United | $49 - $578 | 55% |
| Amerigroup | $49 | 55% |
| Healthyblue | $50 | 56% |
| Medicaid / KanCare | $50 | 56% |
| Unicare | $51 | 57% |
| Home State Health Plan | $79 | 89% |
| Cigna | $101 - $1,027 | 114% |
| Ambetter / Centene | $239 | 269% |
| Nhc Advantage | $244 | 274% |
| Wppa Providrs Care Network | $257 | 289% |
| Humana | $271 - $340 | 305% |
| Universal Healthcare | $450 | 506% |
| Coventry | $516 | 580% |
| Coventry Kc Mo | $527 | 593% |
| College Park Family Care Center | $552 | 621% |
| Triwest Health Alliance | $963 | 1083% |
| Cco, Inc. | $963 | 1083% |
| Focus Healthcare Mgmt, Inc | $963 | 1083% |
Consumer Guidance & Cost Commentary
For this X-ray, chest (single view) procedure at Menorah Medical Center in Overland Park, KS, the cash price is $1,284.00, which matches the facility's cash median. While the facility's negotiated rates for insurance payers range from $14 to $963, the cash price can sometimes be the most affordable option for patients with high-deductible plans, as some insurance negotiated rates exceed the cash amount. To secure the lowest possible cost, patients should explicitly ask the hospital about "self-pay" or "prompt-pay" discounts before scheduling, as these upfront fee reductions can significantly lower the final bill by bypassing administrative processing costs.
It is important to understand that commercial insurance rates are often inflated by administrative overhead and contract dynamics, with negotiated rates frequently running 200% to 300% of the Medicare benchmark of $88.91 for this service. Since the facility's cash price is substantially higher than the Medicare rate, patients should be cautious about assuming that an in-network plan automatically offers the best value; in some cases, paying out-of-pocket may result in lower out-of-pocket expenses if the insurance allowed amount is high. Additionally, if a patient receives a balance bill for out-of-network ancillary services, they should not pay immediately but instead request a formal itemized audit to identify unbundled codes or services not rendered, ensuring compliance with federal protections like the No Surprises Act.