CMS Price Transparency Data

X-ray, chest (single view)

Facility: Mainehealth Stephens Hospital

Billing Code: 71045 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 71045
Insurance Median: $46
Cash Discount Price: $362
vs. Medicare Baseline: 0.52x Medicare

The contracted insurance negotiated median rate for a X-ray, chest (single view) at Mainehealth Stephens Hospital is $46. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $362. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 0.52x the Medicare baseline. Located in 181 Main Street, Norway, ME.

Cash / Self-Pay

$362

Average discount available for prompt cash payment at this facility.

Insurance Median

$46

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: $362 (407%)

Insurance Median: $46 (52%)

Cash: $362 (407% of Medicare)

Ins. Median: $46 (52% 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.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Aetna	$9 - $331	10%
Blue Cross Blue Shield	$9 - $405	10%
Humana	$10 - $141	11%
UnitedHealthcare	$10 - $347	11%
Wellcare	$10 - $147	11%
Multiplan	$15 - $340	17%
Harvard Pilgrim Healthcare	$16 - $351	18%
Community Health Options	$18 - $344	20%
Cigna	$337	379%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $362.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 71045.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Mainehealth Stephens Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 71045.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.