CMS Price Transparency Data

X-ray, chest (single view)

Facility: The University Hospital

Billing Code: 71045 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 71045
  • Insurance Median: $201
  • Cash Discount Price: $116
  • vs. Medicare Baseline: 2.26x Medicare
The contracted insurance negotiated median rate for a X-ray, chest (single view) at The University Hospital is $201. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $116. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 2.26x the Medicare baseline. Located in 150 Bergen St, Newark, NJ.
Cash / Self-Pay
$116

Average discount available for prompt cash payment at this facility.

Insurance Median
$201

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: $116 (130%)
Insurance Median: $201 (226%)
Cash: $116 (130% of Medicare)
Ins. Median: $201 (226% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 226% of the Medicare baseline (a markup of 126%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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
Horizon $24 - $201 27%
Aetna $100 - $164 112%
Amerihealth $100 - $222 112%
Clover Health $100 112%
Fidelis $100 112%
UnitedHealthcare $100 112%
Wellpoint $102 115%
First Health $239 269%
Americare $256 288%
Qualcare $256 288%
Correctional Medical Services $273 307%
Multiplan $273 307%
First Trenton $308 346%
Managed Care Inc $308 346%
Consumer Health Network $325 366%
Three Rivers $325 366%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 150 Bergen St, Newark, NJ 07103
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Government - State
  • Hospital Type: Acute Care Hospitals