X-ray, chest (single view)
Facility: Mercy Hospital Columbus
Billing Code: 71045 (CPT)
- CPT Billing Code: 71045
- Insurance Median: $189
- Cash Discount Price: $169
- vs. Medicare Baseline: 2.13x 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 213% of the Medicare baseline (a markup of 113%). 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 |
|---|---|---|
| Centivo Contracted [320505] | $3 | 3% |
| Humana | $14 - $247 | 16% |
| Medicaid / KanCare | $14 - $189 | 16% |
| UnitedHealthcare | $75 - $216 | 84% |
| Blue Cross Blue Shield | $75 - $189 | 84% |
| Medicare (plans) | $82 - $196 | 92% |
| Insurance System Inc Contracted [320465] | $112 | 126% |
| Health Systems Inc Contracted [320174] | $112 | 126% |
| Administrative Payor Contracted [320005] | $117 | 132% |
| Novasys Contracted [320285] | $189 | 213% |
| Centurion Of Missouri [20459] | $189 | 213% |
| Cigna | $189 | 213% |
| Mercy Hospice Okc [20252] | $189 | 213% |
| Mercy Mgd Behavioral Health Contracted [320259] | $189 | 213% |
| Dept Of Veteran Affairs Contracted [320106] | $189 | 213% |
| Provider Partners Health Plans Contracted [320450] | $189 | 213% |
| Indian Health Service Contracted [320198] | $189 | 213% |
| Home State Health Plan Contracted [320187] | $189 | 213% |
| Tricare | $189 | 213% |
| Pace Of The Ozarks Contracted [320518] | $189 | 213% |
| Aetna | $189 - $234 | 213% |
| Cross Timbers Hospice [20098] | $189 | 213% |
| Halo Hcr Inc Hospice [20432] | $189 | 213% |
| Elara Caring Aspire Hospice [20433] | $189 | 213% |
| Kindful Hospice Contracted [320434] | $189 | 213% |
| Globalhealth Contracted [320145] | $189 | 213% |
| Qual Choice Contracted [320325] | $189 | 213% |
| Kindful Hospice [20434] | $189 | 213% |
| Halo Hcr Inc Hospice Contracted [320432] | $189 | 213% |
| Medical Associates Health Contracted [320444] | $189 | 213% |
| Cherokee Nation Health Serv Contracted [320066] | $189 | 213% |
| Ambetter / Centene | $189 | 213% |
| Healthscope Contracted [320182] | $200 | 225% |
| Workers Comp [20426] | $208 - $221 | 234% |
| United Medical Resources Contracted [320454] | $216 - $247 | 243% |
| Medica Contracted [320239] | $233 | 262% |
| Mercy Benefit Admin Contracted [320251] | $234 - $247 | 263% |
| Federal Medical Center Contracted [320127] | $234 | 263% |
| Usa Managed Care Org Contracted [320429] | $234 | 263% |
| Preferred Health Plan Contracted [320522] | $234 | 263% |
| American Healthcare Alliance Contracted [320020] | $234 | 263% |
| Healthlink Contracted [320179] | $234 - $247 | 263% |
| First Health Contracted [320128] | $234 | 263% |
| Show-Me Health Administrators Contracted [320483] | $247 | 278% |
| Ppo Plus Contracted [320310] | $247 | 278% |
| Aither Health Contracted [320449] | $247 | 278% |
| 90 Degree Benefits Contracted [320436] | $247 | 278% |
| Ebms Contracted [320493] | $247 | 278% |
| Imagine 360 Contracted [320494] | $247 | 278% |
| Yuzu Health Contracted [320521] | $247 | 278% |
| Point C Contracted [320238] | $247 | 278% |
| Private Health Care Systems Contracted [320320] | $247 | 278% |
| Auxiant Contracted [320462] | $247 | 278% |
| Edison Health Solutions Contracted [320502] | $247 | 278% |
| Benefit Management Contracted [320052] | $247 | 278% |
| Reflect Health Contracted [320492] | $247 | 278% |
Consumer Guidance & Cost Commentary
For the X-ray, chest (single view) procedure at Mercy Hospital Columbus, the cash price of $169.00 is significantly lower than the median negotiated rate of $189.00 paid by most insurance plans. While many commercial payers, including Humana and UnitedHealthcare, have negotiated rates ranging from $189 to $247, patients with high-deductible plans may find the cash price more advantageous if their insurance allowed amount exceeds the cash rate. It is important to note that the facility's cash price is also lower than the state average for this service, making it a potentially cost-effective option for those paying out-of-pocket or seeking self-pay discounts.
The facility's negotiated rates are notably higher than the Medicare benchmark of $88.91, which serves as the federal baseline for healthcare costs. This markup reflects the administrative structures and contract dynamics inherent in commercial insurance, where rates often average 200% to 300% of Medicare levels. To minimize costs, patients should verify their specific plan's allowed amount before scheduling and consider requesting a prompt-pay discount if paying in full upfront. Additionally, if you receive a bill from an out-of-network provider at this in-network facility, you may be entitled to protections under the No Surprises Act, which bans balance billing for emergency and non-emergency services.