X-ray, chest (single view)
Facility: William Newton Hospital
Billing Code: 71045 (CPT)
- CPT Billing Code: 71045
- Insurance Median: $68
- Cash Discount Price: $185
- vs. Medicare Baseline: 0.76x 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 |
|---|---|---|
| Triwest- All Plans | $63 - $66 | 71% |
| Ambetter / Centene | $65 - $189 | 73% |
| Blue Cross Blue Shield | $65 - $117 | 73% |
| UnitedHealthcare | $65 - $170 | 73% |
| Providrs Care Nexus | $111 - $116 | 125% |
| Providrs Care - All Other Plans | $127 - $132 | 143% |
Consumer Guidance & Cost Commentary
For the CPT code 71045, representing an X-ray of the chest (single view), William Newton Hospital in Winfield, KS, lists a gross charge of $185.00. While the facility's cash median rate is $185.00, commercial insurance payers negotiate significantly lower amounts, with negotiated rates ranging from $63 to $189 depending on the specific plan. For instance, Triwest-All Plans pays a low of $63, whereas Ambetter/Centene plans can reach a high of $189. It is important to note that cash-pay rates can sometimes be more advantageous for patients with high-deductible plans if their insurance negotiated rate exceeds the cash price. Additionally, patients should inquire about self-pay or prompt-pay discounts before scheduling, as these upfront payment incentives can reduce the final bill by bypassing costly administrative processing fees.
This service is benchmarked against Medicare, which sets a fixed reimbursement rate of $88.91 for this procedure. The facility's cash rate of $185.00 is 208% of the Medicare amount, indicating a significant markup compared to the federal baseline. While the data provided does not include specific state or county average figures for comparison, the facility operates as a Critical Access Hospital in Winfield, KS, and is owned by the local government. Patients are advised to request an itemized billing audit before paying, as over 80% of hospital bills contain errors such as unbundled codes or services not rendered. Furthermore, under the No Surprises Act, patients are protected from balance billing for out-of-network services at in-network facilities, though they should verify their