X-ray, chest (single view)
Facility: Nemaha Valley Community Hospital
Billing Code: 71045 (CPT)
- CPT Billing Code: 71045
- Insurance Median: $125
- Cash Discount Price: $219
- vs. Medicare Baseline: 1.41x 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 |
|---|---|---|
| Va Ccn - All Plans | $107 | 120% |
| Humana | $107 | 120% |
| Aetna | $108 - $207 | 121% |
| Celtic Comm Exch - All Plans | $118 | 133% |
| Blue Cross Blue Shield | $124 | 139% |
| Partners Direct Health - All Plans | $126 | 142% |
| Multiplan - All Plans | $219 | 246% |
| Midlands Choice - All Plans | $231 | 260% |
| Health Partners - All Plans | $231 | 260% |
Consumer Guidance & Cost Commentary
For the chest X-ray procedure (CPT 71045) at Nemaha Valley Community Hospital in Seneca, KS, the facility's cash price of $219.00 is notably higher than the state average of $126.00. While the hospital is a Critical Access Hospital with a voluntary non-profit ownership structure, patients should be aware that commercial insurance negotiated rates for this service range from $107 to $231 depending on the payer. For individuals with high-deductible plans who have not yet met their out-of-pocket maximum, paying the cash price of $219.00 upfront may result in lower total costs compared to using insurance, which could lead to higher out-of-pocket expenses if the deductible is not met or if administrative fees inflate the final bill.
To minimize costs, patients should proactively request "self-pay" or "prompt-pay" discounts before scheduling the appointment, as these programs often offer significant reductions for upfront payment. It is also important to verify the specific allowed amount with your insurance carrier, as in-network rates vary widely among the nine payers listed, with some plans paying as high as $231.00. Finally, if you receive a bill, always request a detailed itemized statement rather than a summary invoice to ensure all charges are accurate and to identify any potential errors before payment.