CMS Price Transparency Data

X-ray, chest (single view)

Facility: Salem Memorial District Hospital

Billing Code: 71045 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 71045
  • Insurance Median: $149
  • Cash Discount Price: $133
  • vs. Medicare Baseline: 1.68x Medicare
The contracted insurance negotiated median rate for a X-ray, chest (single view) at Salem Memorial District Hospital is $149. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $133. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.68x the Medicare baseline. Located in Po Box 774, Salem, MO.
Cash / Self-Pay
$133

Average discount available for prompt cash payment at this facility.

Insurance Median
$149

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: $133 (150%)
Insurance Median: $149 (168%)
Cash: $133 (150% of Medicare)
Ins. Median: $149 (168% 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
Aetna $56 - $170 63%
Ambetter / Centene $56 - $64 63%
Blue Cross Blue Shield $56 - $180 63%
Humana $56 - $161 63%
Tricare $56 - $64 63%
Triwest $56 - $64 63%
UnitedHealthcare $56 - $64 63%
Veteran'S Affairs $56 - $64 63%
Healthlink $107 - $123 120%
First Health $132 - $151 148%
Mercy - C.B. Management Company/Joplin Supply Company $132 - $151 148%
Mercy - City Of Springfield $132 - $151 148%
Mercy - Clayco $132 - $151 148%
Mercy - Commerce Bank $132 - $151 148%
Mercy - Diversified Plastics $132 - $151 148%
Mercy - Employers Benefit Alliance $132 - $151 148%
Mercy - Evolutions $132 - $151 148%
Mercy - Fabick Cat $132 - $151 148%
Mercy - Firsthealth Network $132 - $151 148%
Mercy - Health Management Network $132 - $151 148%
Mercy - Health Systems Inc $132 - $151 148%
Mercy - Liberty Utilities/Empire District Electric $132 - $151 148%
Mercy - Life Church $132 - $151 148%
Mercy - Missouri State University $132 - $151 148%
Mercy - Prime Health Services $132 - $151 148%
Mercy - Quiktrip Corporation $132 - $151 148%
Mercy - Shinesolar $132 - $151 148%
Mercy - Springfield Public Schools $132 - $151 148%
Mercy - Springfield Remanufacturing $132 - $151 148%
Mercy - Sumnerone $132 - $151 148%
Mercy - Trailiner $132 - $151 148%
Mercy - Walmart Mercy Accountable Care Plan $132 - $151 148%
Mercy-American Healthcare Alliance $132 - $151 148%
Phcs $132 - $161 148%
Cigna $140 - $160 157%
Mercy - Compresults $148 - $170 166%
Mercy - Corvel Corporation $148 - $170 166%
Mercy - Novasys $148 - $170 166%
Mercy - Scurlock Industries $148 - $170 166%
Mercy - Usa Managed Care Organization $148 - $170 166%
Right Choice-Alliance $157 - $180 177%
Right Choice-Regular $160 - $183 180%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: Po Box 774, Salem, MO 65560
  • CMS Rating: ★★★★☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Critical Access Hospitals