CMS Price Transparency Data

X-ray, chest (single view)

Facility: Ascension Providence Rochester Hospital

Billing Code: 71045 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 71045
  • Insurance Median: $86
  • Cash Discount Price: $69
  • vs. Medicare Baseline: 0.97x Medicare
The contracted insurance negotiated median rate for a X-ray, chest (single view) at Ascension Providence Rochester Hospital is $86. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $69. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 0.97x the Medicare baseline. Located in 1101 W University Drive, Rochester, MI.
Cash / Self-Pay
$69

Average discount available for prompt cash payment at this facility.

Insurance Median
$86

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: $69 (78%)
Insurance Median: $86 (97%)
Cash: $69 (78% of Medicare)
Ins. Median: $86 (97% 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
Hap $9 10%
Aetna $28 31%
Blue Cross Blue Shield $44 - $86 49%
Bluecaid $47 53%
Medicaid / KanCare $47 53%
Total Health Care Hmo $47 53%
Blue Care Network $48 54%
Smarthealth $77 87%
Hap Senior Plus $86 97%
Humana $86 97%
Medicare (plans) $86 - $91 97%
Priority Health Advantage (Mcr) $86 97%
- None - $91 102%
Meridian Health Plan $108 121%
Mva $164 184%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1101 W University Drive, Rochester, MI 48307
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals