X-ray, chest (single view)
Facility: Holton Community Hospital
Billing Code: 71045 (CPT)
- CPT Billing Code: 71045
- Insurance Median: $172
- Cash Discount Price: $155
- vs. Medicare Baseline: 1.93x 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 |
|---|---|---|
| UnitedHealthcare | $110 - $207 | 124% |
| Aetna | $110 - $207 | 124% |
| Humana | $111 | 125% |
| Kansas Superior Select - All Plans | $112 | 126% |
| Blue Cross Blue Shield | $122 | 137% |
| Preferred Health Freedom | $172 | 193% |
| Preferred Health Professionals | $172 | 193% |
| Preferred Health Fn Select - All Other Plans | $172 | 193% |
| Wppa Providers - All Plans | $197 | 222% |
| Medicaid / KanCare | $207 | 233% |
Consumer Guidance & Cost Commentary
For the CPT code 71045, representing a chest X-ray at Holton Community Hospital in Holton, Kansas, the facility's cash median price is $155.00, which is notably higher than the state average of $112.00. While the hospital's negotiated rates for in-network plans range from $110 to $207, the cash price may actually be the most economical option for patients with high-deductible plans, as the insurance negotiated rates often exceed the cash amount. To ensure you receive the best possible rate, it is essential to verify your specific plan's allowed amount before scheduling and to explicitly ask the hospital about "self-pay" or "prompt-pay" discounts, which can significantly reduce the final cost.
When reviewing your bill, remember that the hospital's gross charge of $207.00 is not the final price you will pay; this figure represents the maximum list price before any discounts are applied. The most reliable benchmark for evaluating fair pricing is the Medicare rate of $88.91, which serves as a scientifically validated cost baseline rather than the inflated chargemaster list. If you receive a summary bill, request a full itemized statement to identify any unbundled codes or services not rendered, as over 80% of hospital bills contain errors that can be corrected through a formal written audit dispute. By comparing your specific negotiated rate against the Medicare benchmark and understanding the administrative costs embedded in commercial contracts, you can make informed decisions about your healthcare spending.