CMS Price Transparency Data

X-ray, chest (single view)

Facility: Kaleida Health

Billing Code: 71045 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 71045
  • Insurance Median: $84
  • Cash Discount Price: $168
  • vs. Medicare Baseline: 0.94x Medicare
The contracted insurance negotiated median rate for a X-ray, chest (single view) at Kaleida Health is $84. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $168. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 0.94x the Medicare baseline. Located in 100 High Street, Buffalo, NY.
Cash / Self-Pay
$168

Average discount available for prompt cash payment at this facility.

Insurance Median
$84

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: $168 (189%)
Insurance Median: $84 (94%)
Cash: $168 (189% of Medicare)
Ins. Median: $84 (94% 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
Fidelis Care $5 - $8 6%
Molina Healthcare Of New York, Inc. $7 - $8 8%
UnitedHealthcare $7 - $118 8%
Highmark Wny $8 - $9 9%
Wellcare $8 - $113 9%
Univera Healthcare $10 - $11 11%
Cigna $11 - $154 12%
Univera $11 - $151 12%
Univera - Wchob $11 - $147 12%
Ghi/Emblem Health $19 - $147 21%
Ghi/Emblem Health - Wchob $19 - $24 21%
Aetna $20 - $115 22%
Magnacare $20 - $25 22%
Magnacare - Wchob $20 - $25 22%
Independent Health Association $63 - $206 71%
Independent Health Association - Wchob $66 - $206 74%
Blue Cross Blue Shield $74 - $405 83%
Tricare $103 116%
Fidelis $117 132%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 100 High Street, Buffalo, NY 14210
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals