X-ray, chest (single view)
Facility: Lane County Hospital
Billing Code: 71045 (CPT)
- CPT Billing Code: 71045
- Insurance Median: $182
- Cash Discount Price: $182
- vs. Medicare Baseline: 2.05x 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 205% of the Medicare baseline (a markup of 105%). 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 |
|---|---|---|
| UnitedHealthcare | $163 - $182 | 183% |
| Aetna | $163 - $172 | 183% |
| Healthy Blue Mcaid | $182 | 205% |
| Healthy Blue Mcr Adv - All Other Plans | $182 | 205% |
| Medicaid / KanCare | $182 - $200 | 205% |
| Wppa Providers-All Plans | $272 | 306% |
Consumer Guidance & Cost Commentary
For the CPT code 71045, representing a chest X-ray, the facility's cash price is $182.00, which matches the median negotiated rate and the Medicare benchmark of $88.91. This indicates that for patients without insurance or those with high-deductible plans, paying cash directly is the most cost-effective option, as the cash price is significantly lower than the typical commercial negotiated rates found in the market. While the facility is a Critical Access Hospital in Dighton, KS, serving the 67839 zip code, the data does not provide specific county or state average figures for this procedure, so a direct comparison to regional averages cannot be made based on the available information.
Patients should be aware that while UnitedHealthcare and Aetna have negotiated rates ranging from $163 to $182, these amounts often exceed the cash price due to administrative costs and contract structures. To minimize out-of-pocket expenses, individuals should explicitly ask the billing department about "self-pay" or "prompt-pay" discounts before scheduling the service, as these upfront payment incentives can reduce the final bill by 20% to 50%. Additionally, since the No Surprises Act prohibits balance billing for emergency care and non-emergency services at in-network facilities, patients can confidently rely on the negotiated or cash rates rather than facing unexpected charges from out-of-network providers.