X-ray, chest (single view)
Facility: Kiowa County Memorial Hospital
Billing Code: 71045 (CPT)
- CPT Billing Code: 71045
- Insurance Median: $156
- Cash Discount Price: $149
- vs. Medicare Baseline: 1.75x 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 |
|---|---|---|
| Blue Cross Blue Shield | $124 - $156 | 139% |
| UnitedHealthcare | $140 - $175 | 157% |
| Health Partners Of Ks-All Plans | $154 | 173% |
| Medica Prime Mcare Cost-All Plans | $156 | 175% |
| Aetna | $156 | 175% |
| Celtic Comml Exchange-All Other Plans | $156 | 175% |
| Humana | $156 | 175% |
| Medicaid / KanCare | $175 | 197% |
| Providrs Care/Wppa-All Plans | $262 | 295% |
Consumer Guidance & Cost Commentary
For the CPT code 71045, representing a chest X-ray, Kiowa County Memorial Hospital in Greensburg, KS, has a cash median price of $149.00, which is lower than the facility's gross charge of $175.00. While the hospital is a Critical Access Hospital owned by the local government, patients should be aware that commercial insurance negotiated rates often exceed cash prices due to administrative costs and contract structures. In this case, the median negotiated rate across payers is $156.00, which is slightly higher than the cash price. This dynamic suggests that for patients with high-deductible plans who have not yet met their out-of-pocket maximum, paying the cash price of $149.00 directly could result in lower total costs compared to insurance processing, provided the patient's plan allows for self-pay discounts.
It is important to note that while the No Surprises Act protects patients from balance billing for out-of-network emergency services at in-network facilities, unexpected ancillary charges or non-emergency services may still trigger additional billing if not covered by a contract. To avoid surprises, patients should request a full itemized bill before paying, as summary invoices can obscure individual line items and potential errors. Additionally, patients should explicitly ask the billing department about "self-pay" or "prompt-pay" discounts, which can reduce the final amount owed by 20% to 50% if paid in full upfront. Given that the facility is in Kansas, comparing these specific rates to state or county averages is essential, though the provided data highlights the facility's specific negotiated and cash benchmarks rather than broader regional statistics.