X-ray, chest (single view)
Facility: Kansas Medical Center Llc
Billing Code: 71045 (CPT)
- CPT Billing Code: 71045
- Insurance Median: $73
- Cash Discount Price: $82
- vs. Medicare Baseline: 0.82x 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 |
|---|---|---|
| Wppa | $44 - $65 | 49% |
| Medicaid / KanCare | $49 | 55% |
| Aetna | $50 - $73 | 56% |
| Tricare | $72 | 81% |
| Indian Health | $72 | 81% |
| Humana | $80 | 90% |
| Ambetter / Centene | $80 | 90% |
| Medadv_Wellcare | $80 | 90% |
| Blue Cross Blue Shield | $80 - $118 | 90% |
| United | $84 | 94% |
| Three_Rivers | $160 | 180% |
Consumer Guidance & Cost Commentary
For the CPT code 71045, representing a single-view chest X-ray at Kansas Medical Center Llc in Andover, KS, the facility's cash median price is $82.00, which is lower than the state average of $88.91 and the Medicare benchmark of $88.91. While the facility offers a negotiated rate of $73.00 to in-network payers, this amount is still higher than the cash price, illustrating that paying out-of-pocket can sometimes be more cost-effective for patients with high-deductible plans or those without insurance. The facility's gross charge of $137.00 is significantly higher than both the cash and negotiated rates, highlighting the substantial markup that can occur when insurance claims are processed.
Insurance coverage varies widely across the 11 payers represented, with negotiated rates ranging from a low of $44.00 for Wppa plans to a high of $160.00 for Three_Rivers. Although the facility is an in-network location for most major carriers, patients should be aware that balance billing is generally prohibited for emergency services and non-emergency care from out-of-network providers at in-network facilities under the No Surprises Act. To minimize costs, patients are encouraged to explicitly request "self-pay" or "prompt-pay" discounts before scheduling, as these upfront payment incentives can reduce the final bill by 20% to 50%. Additionally, patients should always request a full itemized CPT-coded bill rather than accepting a summary invoice, as this allows for the identification of errors, unbundled codes, or services not rendered, which is critical given that over 8