CMS Price Transparency Data

X-ray, chest (single view)

Facility: University of Michigan Health - West

Billing Code: 71045 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 71045
Insurance Median: $101
Cash Discount Price: $60
vs. Medicare Baseline: 1.14x Medicare

The contracted insurance negotiated median rate for a X-ray, chest (single view) at University of Michigan Health - West is $101. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $60. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.14x the Medicare baseline. Located in 5900 Byron Center Avenue, Sw, Wyoming, MI.

Cash / Self-Pay

$60

Average discount available for prompt cash payment at this facility.

Insurance Median

$101

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: $60 (67%)

Insurance Median: $101 (114%)

Cash: $60 (67% of Medicare)

Ins. Median: $101 (114% 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
Medicaid / KanCare	$35 - $48	39%
Molina Healthcare Of Mi	$48	54%
Priority Health	$50	56%
Web Tpa	$66	74%
Care Resources	$80	90%
Humana	$89 - $113	100%
Insight Metro Care	$89	100%
Medicare (plans)	$89	100%
Molina Marketplace Commercial	$89	100%
Aetna	$101 - $109	114%
Alliance Health & Life Ppo	$101	114%
Asr Physicians	$101	114%
Hap	$101	114%
Golden Rule Ins	$109	123%
Medica	$109	123%
Student Ins/Mega Life	$109	123%
UnitedHealthcare	$109	123%
Asr Cofinity	$126	142%
Cofinity Commercial	$126	142%
Cofinity Weyco	$126	142%
Core Source	$126	142%
Epoch Group	$126	142%
Health Partners	$126	142%
Hlthcomp Admin	$126	142%
Mid America	$126	142%

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 $60.
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 University of Michigan Health - West 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.