CMS Price Transparency Data
X-ray, chest (single view)
Facility: Trinity Health Oakland Hospital
Billing Code: 71045 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 71045
- Insurance Median: $170
- Cash Discount Price: $2,112
- vs. Medicare Baseline: 1.91x Medicare
The contracted insurance negotiated median rate for a X-ray, chest (single view) at Trinity Health Oakland Hospital is $170. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,112. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.91x the Medicare baseline. Located in 44405 Woodward Ave, Pontiac, MI.
Cash / Self-Pay
$2,112
Average discount available for prompt cash payment at this facility.
Insurance Median
$170
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: $2,112 (2375%)
Insurance Median: $170 (191%)
Cash: $2,112 (2375% of Medicare)
Ins. Median: $170 (191% 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
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Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Asr Health Benefits | $20 | 22% |
| Caresource | $20 | 22% |
| Hap | $20 - $182 | 22% |
| Varipro | $20 | 22% |
| Blue Cross Blue Shield | $24 - $3,641 | 27% |
| Priority Health | $34 - $37 | 38% |
| Bcn Domestic | $39 | 44% |
| Blue Benefit Administrators Of Massachusetts | $39 | 44% |
| Blue Care Network | $39 | 44% |
| Blue Distinction Transplant | $39 | 44% |
| Blue Shield - Ca | $39 | 44% |
| Blue Shield - Id (Regence) | $39 | 44% |
| Blue Shield - Ny Highmark Northeastern | $39 | 44% |
| Blue Shield - Ny Highmark Western | $39 | 44% |
| Blue Shield - Pa (Highmark) | $39 | 44% |
| Blue Shield - Wa (Regence) | $39 | 44% |
| Health Choices | $39 - $184 | 44% |
| Kaiser Domestic | $39 | 44% |
| Medicaid / KanCare | $48 - $2,083 | 54% |
| U Of M Health Plan | $57 | 64% |
| Aetna | $60 - $3,641 | 67% |
| Geha | $60 - $188 | 67% |
| Medical Mutual | $60 | 67% |
| Meritain | $60 | 67% |
| Wc Accident Fund | $76 | 85% |
| Wc Advantage | $76 | 85% |
| Wc Aig | $76 | 85% |
| Wc Allied | $76 | 85% |
| Wc Amerisure | $76 | 85% |
| Wc Amtrust | $76 | 85% |
| Wc Asu Risk Mgt | $76 | 85% |
| Wc Berkley Admin | $76 | 85% |
| Wc Broadspire | $76 | 85% |
| Wc Bunch & Associates | $76 | 85% |
| Wc Ccmsi | $76 | 85% |
| Wc Emc Insurance Company | $76 | 85% |
| Wc Esis | $76 | 85% |
| Wc Fcci | $76 | 85% |
| Wc Federated | $76 | 85% |
| Wc Gallagher Bassett | $76 | 85% |
| Wc Genex Care For Ohio | $76 | 85% |
| Wc Guard Insurance Company | $76 | 85% |
| Wc Hartford | $76 | 85% |
| Wc Liberty Mutual | $76 | 85% |
| Wc Meijers | $76 | 85% |
| Wc Michigan | $76 | 85% |
| Wc Mitchell Frankenmuth | $76 | 85% |
| Wc Pma | $76 | 85% |
| Wc Sedgwick | $76 | 85% |
| Wc Sentry | $76 | 85% |
| Wc Travelers | $76 | 85% |
| Wc Tristar | $76 | 85% |
| Wc Walmart | $76 | 85% |
| Wc Zurich | $76 | 85% |
| Blue Care Network Advantage | $85 - $3,641 | 96% |
| Medicare (plans) | $85 - $3,715 | 96% |
| Align Senior Care | $87 - $3,715 | 98% |
| Hospice Advantage | $87 - $3,715 | 98% |
| UnitedHealthcare | $89 - $3,826 | 100% |
| Cca - Zing Health | $92 - $3,932 | 103% |
| Longevity Ipa Of Michigan Llc Health Plan Isnp | $98 - $4,187 | 110% |
| Acs Benefit Services | $110 | 124% |
| Allied Benefit Systems | $110 | 124% |
| Claimchoice Adminstrators | $110 | 124% |
| Consociate | $110 | 124% |
| Cypress Benefit Administrators | $110 | 124% |
| Forest County Potawatomi | $110 | 124% |
| Health Smart | $110 | 124% |
| Healthgram | $110 | 124% |
| Healthscope | $110 | 124% |
| Secureone Preferred United Plans | $110 | 124% |
| Sisco Benefits | $110 | 124% |
| The Health Plan | $110 | 124% |
| Trustmark Small Business Benefits | $110 | 124% |
| Unified Group Services | $110 | 124% |
| Webtpa | $110 | 124% |
| Molina Marketplace | $113 - $4,829 | 127% |
| Mclaren Health | $120 - $131 | 135% |
| Carelon Behavioral Health | $125 | 141% |
| Health Cost Solutions | $134 - $5,758 | 151% |
| Vitalcore | $134 - $5,758 | 151% |
| Wellpath | $134 - $5,758 | 151% |
| Magellan Behavioral Health | $150 | 169% |
| 1199 National Benefit Fund | $170 | 191% |
| Allied National Global Care | $170 | 191% |
| Asrm - Reliance Standard Life Insurance | $170 | 191% |
| Christian Care Ministry | $170 | 191% |
| Dean Health | $170 | 191% |
| Fallon Health | $170 | 191% |
| Family Life Insurance Company | $170 | 191% |
| Ghc Scw | $170 | 191% |
| Group Pension Administrators | $170 | 191% |
| International Benefit Administrators | $170 | 191% |
| Lifetime Benefit Solutions | $170 | 191% |
| Manhattan Life | $170 | 191% |
| Medi Share | $170 | 191% |
| Multiplan | $170 | 191% |
| Mvp | $170 | 191% |
| Pai | $170 | 191% |
| Pan-American Life | $170 | 191% |
| Paramount Hmo | $170 | 191% |
| Phcs | $170 | 191% |
| Trinity Health Share | $170 | 191% |
| Health Partners | $182 | 205% |
| Tufts Health Plan | $182 | 205% |
| Access Health | $184 | 207% |
| Acclaim | $184 | 207% |
| Administrative Concepts | $184 | 207% |
| Allegeant | $184 | 207% |
| Ameriben | $184 | 207% |
| American Family | $184 | 207% |
| American Healthcare Alliance | $184 | 207% |
| American National | $184 | 207% |
| American Republic | $184 | 207% |
| Amerihealth | $184 | 207% |
| Aultcare | $184 | 207% |
| Automated Benefit Services | $184 | 207% |
| Auxiant | $184 | 207% |
| Benefit Administrative Systems,Llc | $184 | 207% |
| Boon Chapman | $184 | 207% |
| Cam Administrative Services | $184 | 207% |
| Christian Brother Services | $184 | 207% |
| Christian Brothers Holy Cross | $184 | 207% |
| Comprehensive Benefits | $184 | 207% |
| Continental Life Insurance | $184 | 207% |
| Custom Benefit Administrators | $184 | 207% |
| Employee Benefit Concepts | $184 | 207% |
| Employee Benefit Management | $184 | 207% |
| Enterprise Group Planning | $184 | 207% |
| Freedom Life Insurance Company | $184 | 207% |
| Group Administrators | $184 | 207% |
| Group Marketing Services | $184 | 207% |
| Guardian | $184 | 207% |
| Health America | $184 | 207% |
| Healthcare Management Admin | $184 | 207% |
| Healthez | $184 | 207% |
| Humana | $184 | 207% |
| Insight | $184 | 207% |
| Intercare | $184 | 207% |
| Jfp Benefit Management | $184 | 207% |
| Jp Farley Corporation | $184 | 207% |
| Key Benefit Administrator | $184 | 207% |
| Liberty Union Life Assurance Co | $184 | 207% |
| Lucent Health | $184 | 207% |
| Luminare Health | $184 | 207% |
| Luminare Health (Detroit) | $184 | 207% |
| Magnacare | $184 | 207% |
| Medben | $184 | 207% |
| Medcost | $184 | 207% |
| Mutual Health Services | $184 | 207% |
| Mutual Of Omaha | $184 | 207% |
| Ncas | $184 | 207% |
| Nippon Life Ins | $184 | 207% |
| Nova | $184 | 207% |
| Painters Union Insurance Fund | $184 | 207% |
| Physicians Mutual | $184 | 207% |
| Plumbers Local 98 Insurance Fund | $184 | 207% |
| Prairie States | $184 | 207% |
| Preferred One | $184 | 207% |
| Primary Physician Care | $184 | 207% |
| Professional Benefit Administrators | $184 | 207% |
| Siho Insurance Services | $184 | 207% |
| The Loomis Company | $184 | 207% |
| Unicare | $184 | 207% |
| Us Health And Life | $184 | 207% |
| Valenz | $184 | 207% |
| Western & Southern Financial Group | $184 | 207% |
| Wps | $184 | 207% |
| Cigna | $185 | 208% |
| Coventry | $188 | 211% |
| First Health | $188 | 211% |
| Employee Benefit Logistic | $200 - $8,571 | 225% |
| Prime Health Services | $200 | 225% |
| Three Rivers Provider Network | $225 | 253% |
| Cmh Detroit Wayne Integrated Health Network | $250 | 281% |
| Cmh Lenawee County | $250 | 281% |
| Cmh Livingston County | $250 | 281% |
| Cmh Misc | $250 | 281% |
| Cmh Monroe County | $250 | 281% |
| Cmh Oakland County | $250 | 281% |
| Cmh Washtenaw County | $250 | 281% |