X-ray, chest (single view)
Facility: Cloud County Health Center
Billing Code: 71045 (CPT)
- CPT Billing Code: 71045
- Insurance Median: $352
- Cash Discount Price: $260
- vs. Medicare Baseline: 3.96x 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 396% of the Medicare baseline (a markup of 296%). 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 |
|---|---|---|
| Aetna | $334 - $345 | 376% |
| Mpi-All Plans | $352 | 396% |
| Health Partners - All Plans | $352 | 396% |
| Pponext-All Plans | $352 | 396% |
Consumer Guidance & Cost Commentary
For the X-ray, chest (single view) procedure at Cloud County Health Center in Concordia, KS, the facility's cash median price is $260.00, which is notably lower than the state average of $371.00. While the facility's negotiated rates with major payers like Aetna, Mpi-All Plans, and others range between $334 and $352, these amounts are higher than the cash price. This pricing structure suggests that patients with high-deductible plans or those without insurance may save money by paying the cash price directly, as the insurance negotiated rates exceed the self-pay amount. It is important to note that while the facility is a Critical Access Hospital with a voluntary non-profit ownership, patients should explicitly ask about self-pay or prompt-pay discounts before scheduling to ensure they are not billed the full negotiated rate.
The Medicare benchmark for this service is $88.91, which serves as a baseline for evaluating the facility's pricing markup. The facility's gross charge of $371.00 is significantly higher than the Medicare amount, illustrating the difference between the hospital's list price and the federal cost basis. Although the No Surprises Act protects patients from balance billing for out-of-network providers at in-network facilities, patients should still request an itemized bill to verify that no unexpected ancillary services are being charged. If a patient receives a summary bill, they should demand a full CPT-coded statement to identify any errors or unbundled charges, as over 80% of hospital bills contain mistakes that can be corrected through a formal written audit dispute.