CMS Price Transparency Data

X-ray, chest (single view)

Facility: Mary Hitchcock Memorial Hospital

Billing Code: 71045 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 71045
  • Insurance Median: $61
  • Cash Discount Price: $107
  • vs. Medicare Baseline: 0.69x Medicare
The contracted insurance negotiated median rate for a X-ray, chest (single view) at Mary Hitchcock Memorial Hospital is $61. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $107. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 0.69x the Medicare baseline. Located in 1 Medical Center Drive, Lebanon, NH.
Cash / Self-Pay
$107

Average discount available for prompt cash payment at this facility.

Insurance Median
$61

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: $107 (120%)
Insurance Median: $61 (69%)
Cash: $107 (120% of Medicare)
Ins. Median: $61 (69% 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 $8 - $487 9%
Martin'S Point Generations Advantage $8 - $99 9%
Martin'S Point Health Care $8 - $193 9%
Mvp $8 - $375 9%
UnitedHealthcare $8 - $484 9%
Aetna $9 - $392 10%
Ambetter / Centene $9 - $212 10%
Amerihealth Caritas Nh $9 - $63 10%
Beacon Health Strategies/Carelon $9 - $68 10%
Cigna $9 - $383 10%
Granite State Health Plan $9 - $70 10%
Wellcare Health Plans $9 - $102 10%
Wellsense Health Plan $9 - $103 10%
Harvard Pilgrim Health Care Of Ne $11 - $430 12%
Mass General Brigham Health Plan $24 - $348 27%
Tufts Health Plan $28 - $326 31%
Maine Community Health Options $91 - $411 102%
Coventry $124 - $486 139%
First Health/Hcvm $124 - $486 139%
Phcs $129 - $503 145%
Corvel $132 - $514 148%
Ccmsi $136 - $531 153%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1 Medical Center Drive, Lebanon, NH 03756
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals