X-ray, chest (single view)
Facility: Wilson Medical Center
Billing Code: 71045 (CPT)
- CPT Billing Code: 71045
- Insurance Median: $194
- Cash Discount Price: $182
- vs. Medicare Baseline: 2.18x 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 218% of the Medicare baseline (a markup of 118%). 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 | $122 - $242 | 137% |
| Aetna | $128 - $242 | 144% |
| Humana | $128 | 144% |
| Tricare | $128 | 144% |
| UnitedHealthcare | $128 - $225 | 144% |
| Ambetter / Centene | $128 - $242 | 144% |
| Cigna | $194 | 218% |
| Mulitplan-All Plans | $223 | 251% |
| Health Partners-All Plans | $223 | 251% |
Consumer Guidance & Cost Commentary
For the CPT code 71045 (X-ray, chest, single view) at Wilson Medical Center in Neodesha, KS, the facility's cash median price is $182.00, which is lower than the state average of $194.00. While the facility's negotiated rates with major payers like Blue Cross Blue Shield and Aetna range from $122 to $242, patients with high-deductible plans may find paying the cash price of $182.00 more cost-effective than relying on insurance, as the negotiated rates often exceed the cash amount. Since this facility is a Critical Access Hospital owned by the local government, patients should proactively ask about "self-pay" or "prompt-pay" discounts before scheduling, as these upfront incentives can further reduce the final bill by bypassing administrative fees and claims processing costs.
The facility's Medicare benchmarking rate is $88.91, which serves as a baseline for evaluating commercial pricing; the cash price of $182.00 represents a markup relative to this federal standard. Although the data does not provide specific county average comparisons, the cash rate remains competitive against the state average. To avoid unexpected costs, patients should request an itemized bill to verify that no services were unbundled or double-charged, as over 80% of hospital bills contain errors. If a balance bill arises from an out-of-network ancillary service, patients can dispute the charge under the No Surprises Act, which prohibits providers from billing for the difference between the provider's rate and the insurance allowed amount for emergency or non-emergency care at in-network facilities.