X-ray, chest (single view)
Facility: Hodgeman County Health Center
Billing Code: 71045 (CPT)
- CPT Billing Code: 71045
- Insurance Median: $131
- Cash Discount Price: $149
- vs. Medicare Baseline: 1.47x 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 | $117 - $124 | 132% |
| Triwest - All Plans | $119 | 134% |
| Medicaid / KanCare | $119 - $186 | 134% |
| Humana | $119 | 134% |
| UnitedHealthcare | $119 - $177 | 134% |
| Aetna | $149 | 168% |
| First Health - All Plans | $167 | 188% |
| Wppa (Provdrscare) - All Plans | $177 | 199% |
| Health Partners - All Plans | $177 | 199% |
Consumer Guidance & Cost Commentary
For the X-ray, chest (single view) procedure at Hodgeman County Health Center in Jetmore, Kansas, the cash price is $149.00, which is lower than the facility's gross charge of $186.00. While the median negotiated rate across payers is $131.00, patients with high-deductible plans may find paying cash directly more cost-effective, as the cash price is often lower than the amount insurance companies negotiate. It is important to note that Medicaid/KanCare plans show a wide range of negotiated rates from $119 to $186, highlighting the variability in coverage. To ensure you receive the best possible rate, you should explicitly ask the hospital about "self-pay" or "prompt-pay" discounts before scheduling, as these upfront fee reductions can significantly lower your out-of-pocket costs compared to standard billing cycles.
This facility operates as a Critical Access Hospital with government-local ownership, and its pricing is benchmarked against federal standards. The Medicare amount for this service is $88.91, which serves as a baseline for evaluating commercial rates; commercial negotiated rates typically range from 120% to 300% of this amount, though the facility's specific negotiated average of $131.00 falls within the fair pricing range of 120% to 150%. If you receive a bill that exceeds these benchmarks, you have the right to request an itemized billing audit to identify errors such as unbundled codes or services not rendered, as over 80% of hospital bills contain inaccuracies. Furthermore, under the No Surprises Act, you are protected from balance billing for out