CMS Price Transparency Data

X-ray, chest (single view)

Facility: Cambridge Health Alliance

Billing Code: 71045 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 71045
  • Insurance Median: $625
  • Cash Discount Price: $625
  • vs. Medicare Baseline: 7.03x Medicare
The contracted insurance negotiated median rate for a X-ray, chest (single view) at Cambridge Health Alliance is $625. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $625. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 7.03x the Medicare baseline. Located in 1493 Cambridge Street, Cambridge, MA.
Cash / Self-Pay
$625

Average discount available for prompt cash payment at this facility.

Insurance Median
$625

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: $625 (703%)
Insurance Median: $625 (703%)
Cash: $625 (703% of Medicare)
Ins. Median: $625 (703% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 703% of the Medicare baseline (a markup of 603%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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
Blue Cross Blue Shield $71 - $625 80%
Other Tufts Health Public Plan [75002] $165 186%
Health Plans Inc [20002] $179 201%
Hphc [20001] $179 201%
UnitedHealthcare $179 - $186 201%
Aarp [40001] $186 209%
Oxford Health [40004] $186 209%
United Medical Resource [40005] $186 209%
Cigna $239 - $625 269%
Tufts Health Plan [30001] $239 - $331 269%
Mass General Brigham [50021] $398 448%
Wellpoint [50012] $406 457%
Multiplan [50010] $425 478%
Aetna $544 - $625 612%
Altus Dental [99011] $625 703%
Beacon Health Strategies [50002] $625 703%
Cbhc Uninsured Crisis Alt Payer [70097] $625 703%
Cbhc Uninsured Crisis [70096] $625 703%
Celticare [50004] $625 703%
Commonwealth Care Alliance Dental [99004] $625 703%
Coverage Discovery [90004] $625 703%
Delta Dental Of Ma [99007] $625 703%
Dominion National Dental [99012] $625 703%
Dph Tb Payor [85004] $625 703%
Esp Dental [99003] $625 703%
Eyemed Alt Payor [13001] $625 703%
First Health [50007] $625 703%
Global Medical Management [50024] $625 703%
Government Employee Health Association [50023] $625 703%
Guardian Dental [99013] $625 703%
Health Safety Net Dental [99002] $625 703%
Humana $625 703%
Ma Laborers Health And Welfare Fund [50022] $625 703%
Magellan Health Services [65098] $625 703%
Mass Health Dental [99001] $625 703%
Medical Mutual Of Ohio [50019] $625 703%
Medicare (plans) $625 703%
Metlife Dental [99008] $625 703%
Modern Assistance Program [30098] $625 703%
Mva [90002] $625 703%
Neighborhood Health Plan [50011] $625 703%
Other Bh Payor [50014] $625 703%
Other Commercial Payor [50015] $625 703%
Other Dental Payor [99014] $625 703%
Other Dual Eligible Payer [65004] $625 703%
Other Gov'T Alt [85006] $625 703%
Other Vision Payor [50013] $625 703%
Ri Neighborhood Health Plan [50017] $625 703%
Tricare $625 703%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1493 Cambridge Street, Cambridge, MA 02139
  • CMS Rating: ★★★☆☆
  • Ownership Type: Government - Local
  • Hospital Type: Acute Care Hospitals