CMS Price Transparency Data

X-ray, chest (single view)

Facility: Hermann Area District Hospital

Billing Code: 71045 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 71045
Insurance Median: $139
Cash Discount Price: $143
vs. Medicare Baseline: 1.56x Medicare

The contracted insurance negotiated median rate for a X-ray, chest (single view) at Hermann Area District Hospital is $139. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $143. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.56x the Medicare baseline. Located in 509 W 18Th St, Hermann, MO.

Cash / Self-Pay

$143

Average discount available for prompt cash payment at this facility.

Insurance Median

$139

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: $143 (161%)

Insurance Median: $139 (156%)

Cash: $143 (161% of Medicare)

Ins. Median: $139 (156% 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
Healthy Blue Mcaid - All Plans	$14	16%
Ambetter / Centene	$15 - $168	17%
Blue Cross Blue Shield	$15 - $195	17%
UnitedHealthcare	$15 - $292	17%
Tricare	$95	107%
Choicecare Mcr Adv- All Plans	$100	112%
American Hlth Mcr Adv- All Plans	$105	118%
Humana	$105	118%
Aetna	$107 - $227	120%
Wellcare Mcr Adv - All Plans	$107	120%
Cigna	$130	146%
Harmony Hp Mcaid- All Plans	$139	156%
Care Partners Mcaid- All Plans	$143	161%
Healthcare Usa Mcaid- All Plans	$155	174%
Healthlink Hmo	$155	174%
Healthlink Ppo - All Other Plans	$179	201%
Multiplan/Phcs - All Plans	$179	201%
Coventry - All Plans	$203	228%
Comp Results - All Plans	$215	242%
Three Rivers - All Plans	$215	242%

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 $143.
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 Hermann Area District 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.