CMS Price Transparency Data

X-ray, chest (single view)

Facility: Ellinwood District Hospital

Billing Code: 71045 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 71045
  • Insurance Median: $57
  • Cash Discount Price: $70
  • vs. Medicare Baseline: 0.64x Medicare
The contracted insurance negotiated median rate for a X-ray, chest (single view) at Ellinwood District Hospital is $57. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $70. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 0.64x the Medicare baseline. Located in 605 N Main Street, Ellinwood, KS.
Cash / Self-Pay
$70

Average discount available for prompt cash payment at this facility.

Insurance Median
$57

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: $70 (79%)
Insurance Median: $57 (64%)
Cash: $70 (79% of Medicare)
Ins. Median: $57 (64% 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.

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
Blue Cross Blue Shield $57 64%
UnitedHealthcare $57 64%
Humana $57 64%
Aetna $57 64%
Cigna $57 64%

Consumer Guidance & Cost Commentary

For the CPT code 71045, representing a chest X-ray, Ellinwood District Hospital in Kansas has a negotiated rate of $57.00 across five major payers, including Blue Cross Blue Shield, UnitedHealthcare, Humana, Aetna, and Cigna. This negotiated amount is identical to the facility's cash median price of $70.00 and the median negotiated rate of $57.00, indicating that patients with high-deductible plans may find paying cash upfront to be the most cost-effective option, as the insurance negotiated rate does not exceed the cash price. While the facility is a Critical Access Hospital owned by a Government Hospital District, the specific facility rating is not available in this report.

When evaluating the cost relative to federal standards, the facility's gross charge of $82.00 is 60% of the Medicare amount of $88.91, suggesting a pricing structure that aligns closely with the government's cost-based benchmarks. The data provided does not include specific state or county average comparisons for this procedure, so the $57.00 negotiated rate should be viewed as the primary benchmark for in-network coverage. Patients are encouraged to verify their specific plan details and ask the hospital directly about any "self-pay" or "prompt-pay" discounts that could further reduce the final bill before scheduling the service.

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 605 N Main Street, Ellinwood, KS 67526
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Critical Access Hospitals