X-ray, chest (single view)
Facility: Morris County Hospital
Billing Code: 71045 (CPT)
- CPT Billing Code: 71045
- Insurance Median: $123
- Cash Discount Price: $188
- vs. Medicare Baseline: 1.38x 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 |
|---|---|---|
| Providrs Care (Wppa)(Nexus)-All Plans | $33 | 37% |
| Blue Cross Blue Shield | $117 - $124 | 132% |
| Choice Care Mcr Adv-All Plans | $122 | 137% |
| Va Ccn-All Plans | $122 | 137% |
| Coventry Mcr | $122 | 137% |
| UnitedHealthcare | $122 - $314 | 137% |
| Cigna | $227 | 255% |
| Aetna | $281 | 316% |
| Multiplan-All Plans | $283 | 318% |
| Coventry Comm-All Other Plans | $283 | 318% |
Consumer Guidance & Cost Commentary
For the CPT code 71045 (X-ray, chest, single view) at Morris County Hospital in Council Grove, KS, the facility's cash median rate of $188.00 is notably higher than the state average of $175.00. While the facility is a Critical Access Hospital with government local ownership, patients should be aware that commercial insurance negotiated rates vary significantly, ranging from $33.00 with Providrs Care to $314.00 with UnitedHealthcare. Although the cash price exceeds the median paid amount, it remains lower than the gross charge of $314.00. For patients with high-deductible plans, paying cash upfront may be more cost-effective than relying on insurance, as the negotiated rates for many payers exceed the cash price, and hospitals often offer prompt-pay discounts that can further reduce the final bill.
The facility's Medicare benchmarking ratio of 1.4 indicates that the commercial rates are 40% higher than the federal baseline, which is calculated based on actual provider costs. This markup reflects the administrative overhead and contract dynamics inherent in commercial insurance, where rates can average 200% to 300% of Medicare, though fair pricing is typically defined as 120% to 150%. To ensure you are not overcharged, it is essential to request an itemized billing audit before finalizing payment, as over 80% of hospital bills contain errors such as unbundled codes or services not rendered. Additionally, since the No Surprises Act prohibits balance billing for emergency care and non-emergency services from out-of-network providers at in-network facilities, you should