X-ray, chest (single view)
Facility: Rooks County Health Center
Billing Code: 71045 (CPT)
- CPT Billing Code: 71045
- Insurance Median: $268
- Cash Discount Price: $223
- vs. Medicare Baseline: 3.01x 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 301% of the Medicare baseline (a markup of 201%). 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 |
|---|---|---|
| Blue Cross Blue Shield | $124 | 139% |
| Veterans Admin - All Plans | $140 | 157% |
| Tricare | $140 | 157% |
| Celtic Mcr Adv | $140 | 157% |
| Celtic Comm - All Other Plans | $154 | 173% |
| UnitedHealthcare | $268 | 301% |
| Preferred Benefits Admin | $268 | 301% |
| Aetna | $268 | 301% |
| Health Partners - All Plans | $283 | 318% |
| Preferred Hlthcare - All Other Plans | $283 | 318% |
| Healthy Blue Mcaid - All Plans | $298 | 335% |
Consumer Guidance & Cost Commentary
For the CPT code 71045 (X-ray, chest, single view) at Rooks County Health Center in Plainville, KS, the facility's cash price of $223.00 is lower than the median negotiated rate of $268.00 paid by most insurance plans. This price transparency report shows that while the facility's gross charge is $298.00, patients with high-deductible plans may find paying cash upfront more cost-effective than relying on insurance, which often results in higher out-of-pocket costs due to administrative fees and deductibles. The facility, a Critical Access Hospital owned by a Government Hospital District, offers a cash price that is 22% lower than the median negotiated rate, suggesting that self-pay or prompt-pay discounts could further reduce the final bill if requested before scheduling.
When compared to the national baseline, the facility's cash price is 23% higher than the Medicare benchmark of $88.91, which serves as the objective cost baseline for healthcare services. However, the median amount paid by insurers is 154% of the Medicare rate, indicating that commercial insurance contracts often result in higher costs for patients than direct cash payment. To ensure you receive the best possible rate, it is recommended to explicitly ask the billing department for "self-pay" or "prompt-pay" discounts prior to check-in, as these upfront payment incentives can bypass the costly insurance claims process and potentially lower the total amount owed.