X-ray, chest (single view)
Facility: Great Plains Of Sabetha
Billing Code: 71045 (CPT)
- CPT Billing Code: 71045
- Insurance Median: $206
- Cash Discount Price: $214
- vs. Medicare Baseline: 2.32x 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 232% of the Medicare baseline (a markup of 132%). 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 |
|---|---|---|
| Celtic Mcr Adv | $107 - $115 | 120% |
| Aetna | $108 - $223 | 121% |
| Celtic Comm Exchange-All Other Plans | $134 - $144 | 151% |
| Great West Healthcare-All Plans | $175 - $188 | 197% |
| UnitedHealthcare | $192 - $221 | 216% |
| Cigna | $196 - $210 | 220% |
| Century/Wppa/Providers-All Plans | $196 - $210 | 220% |
| Multiplan-Phcs-All Plans | $196 - $210 | 220% |
| Humana | $196 - $210 | 220% |
| Federated Mutual Ins-All Plans | $198 - $212 | 223% |
| Medicaid / KanCare | $206 - $221 | 232% |
| Blue Cross Blue Shield | $206 - $221 | 232% |
Consumer Guidance & Cost Commentary
For the CPT code 71045, representing a chest X-ray, Great Plains of Sabetha in Sabetha, KS, lists a cash price of $214.00, which matches the facility's cash median. This cash rate is significantly higher than the Medicare benchmark of $88.91, reflecting a markup of 2.3 times the federal baseline. While commercial insurance plans like Aetna and UnitedHealthcare negotiate rates ranging from $107 to $223, these negotiated amounts often exceed the cash price due to administrative overhead and contract structures. Patients with high-deductible plans may find paying the full cash price upfront more cost-effective than relying on insurance, as the negotiated rate could result in higher out-of-pocket costs before deductible thresholds are met.
To secure the lowest possible rate, patients should verify if the facility offers "self-pay" or "prompt-pay" discounts, which can reduce the bill by 20% to 50% for upfront payment. It is also important to request an itemized billing audit before finalizing payment, as over 80% of hospital bills contain errors such as double-billing or unbundled codes that can be corrected. While the data provided does not include specific county or state average comparisons for this procedure, understanding that commercial rates often average 200% to 300% of Medicare helps patients evaluate whether the facility's pricing aligns with fair market value. Always confirm your specific plan's allowed amount and deductible status before scheduling to avoid unexpected balance billing or surprise costs.