CMS Price Transparency Data

X-ray, chest (single view)

Facility: Rockcastle County Hospital, Inc.

Billing Code: 71045 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 71045
  • Insurance Median: $159
  • Cash Discount Price: $170
  • vs. Medicare Baseline: 1.79x Medicare
The contracted insurance negotiated median rate for a X-ray, chest (single view) at Rockcastle County Hospital, Inc. is $159. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $170. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.79x the Medicare baseline. Located in 145 Newcomb Avenue, Mount Vernon, KY.
Cash / Self-Pay
$170

Average discount available for prompt cash payment at this facility.

Insurance Median
$159

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$88.91

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $88.91 (100%)
Cash / Self-Pay: $170 (191%)
Insurance Median: $159 (179%)
Cash: $170 (191% of Medicare)
Ins. Median: $159 (179% of 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.

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Passport Hp Hmo - All Plans $9 - $73 10%
Caresource Mcaid $15 17%
Coventry Mcaid-All Plans $15 17%
Medicaid / KanCare $15 17%
Molina Mcaid $15 17%
UnitedHealthcare $15 - $350 17%
Blue Cross Blue Shield $23 - $202 26%
Multiplan-All Plans $29 - $229 33%
Prime Health Services-All Plans $29 - $229 33%
Integrated Hp-All Plans $30 - $239 34%
Corvel - All Plans $31 - $242 35%
Center Care-All Plans $32 - $256 36%
Cigna $33 - $261 37%
Tricare $61 69%
Caresource Mcr Adv-All Other Plans $82 92%
Humana $82 - $322 92%
Molina Marketplace - All Other Plans $82 92%
Molina Mcr Adv $82 92%
Signature Mcr Adv-All Plans $82 92%
Wellcare Mcr Adv-All Other Plans $82 92%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 145 Newcomb Avenue, Mount Vernon, KY 40456
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals