CMS Price Transparency Data

X-ray, chest (single view)

Facility: Munson Healthcare Otsego Memorial Hospital

Billing Code: 71045 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 71045
  • Insurance Median: $45
  • Cash Discount Price: $207
  • vs. Medicare Baseline: 0.51x Medicare
The contracted insurance negotiated median rate for a X-ray, chest (single view) at Munson Healthcare Otsego Memorial Hospital is $45. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $207. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 0.51x the Medicare baseline. Located in 825 N Center Ave, Gaylord, MI.
Cash / Self-Pay
$207

Average discount available for prompt cash payment at this facility.

Insurance Median
$45

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: $207 (233%)
Insurance Median: $45 (51%)
Cash: $207 (233% of Medicare)
Ins. Median: $45 (51% 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
Blue Cross Blue Shield $6 - $156 7%
Mclaren Health Plan $6 - $209 7%
Meridian $6 - $45 7%
Molina $6 - $94 7%
Priority Health $6 - $115 7%
UnitedHealthcare $6 - $199 7%
Aetna $8 - $202 9%
Blue Care Network $8 - $87 9%
Hap (Health Alliance Plan) $8 - $199 9%
Humana $8 - $87 9%
Medicare (plans) $8 - $87 9%
Michigan Amish Medical Board $8 - $87 9%
Northern Michigan Mennonite Group $8 - $87 9%
Asr Physicians Care Network $12 - $199 13%
Cigna $13 - $115 15%
Nomi Health $13 - $199 15%
Employee Benefit Logistics $14 - $147 16%
Munson Hospice $119 - $852 134%
Hospice Of Michigan $143 - $149 161%
Enterprise Group Planning/Employee Benefit Plan $190 - $199 214%
Cofinity $202 - $212 227%
Provider Network Of America/Hawaii Mainland Administrative Group Health $202 - $212 227%
Three Rivers Provider Network $202 - $212 227%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 825 N Center Ave, Gaylord, MI 49735
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals