X-ray, chest (single view)
Facility: Goodland Regional Medical Center
Billing Code: 71045 (CPT)
- CPT Billing Code: 71045
- Insurance Median: $167
- Cash Discount Price: $167
- vs. Medicare Baseline: 1.88x 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 | 139% |
| Wppa | $157 - $166 | 177% |
| UnitedHealthcare | $166 | 187% |
Consumer Guidance & Cost Commentary
For the CPT code 71045, representing a chest X-ray at Goodland Regional Medical Center in Goodland, KS, the facility's cash median rate is $167.00, which is notably lower than the negotiated rates charged to commercial payers. While the facility's negotiated rates range from $124 to $166 depending on the insurance plan, the cash price remains competitive and aligns closely with the median negotiated amount of $167.00. This suggests that for patients with high-deductible plans or those without insurance, paying out-of-pocket may be more cost-effective than relying on insurance, as the administrative overhead often embedded in commercial contracts can inflate the final bill. Additionally, patients should verify if the facility offers self-pay or prompt-pay discounts, which can further reduce the cost by bypassing the standard claims processing cycle.
The facility's pricing is also contextualized by the Medicare benchmark, where the allowed amount of $88.91 serves as a baseline for fair pricing. The commercial negotiated rates observed here are approximately 1.9 times the Medicare amount, reflecting the typical markup found in commercial contracts. It is important to note that while the facility is a Critical Access Hospital with government-local ownership, the specific rates for this procedure vary slightly among the three payers listed, with Blue Cross Blue Shield showing a consistent rate of $124 and UnitedHealthcare and WPPA ranging between $166 and $167. Consumers are advised to request an itemized bill before scheduling to ensure no unexpected charges occur and to confirm that the facility is adhering to the negotiated rates rather than charging the full chargemaster list price.