CMS Price Transparency Data

X-ray, chest (single view)

Facility: Sisters of Charity Hospital

Billing Code: 71045 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 71045
  • Insurance Median: $24
  • Cash Discount Price: $108
  • vs. Medicare Baseline: 0.27x Medicare
The contracted insurance negotiated median rate for a X-ray, chest (single view) at Sisters of Charity Hospital is $24. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $108. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 0.27x the Medicare baseline. Located in 2157 Main Street, Buffalo, NY.
Cash / Self-Pay
$108

Average discount available for prompt cash payment at this facility.

Insurance Median
$24

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: $108 (121%)
Insurance Median: $24 (27%)
Cash: $108 (121% of Medicare)
Ins. Median: $24 (27% 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
UnitedHealthcare $6 - $24 7%
Univera Healthcare Essential [100170] $7 - $22 8%
Blue Cross Blue Shield $14 - $24 16%
Molina Essential [100167] $14 - $36 16%
Fidelis Essential [100163] $14 - $27 16%
Crime Victims [100176] $16 18%
Amerigroup [350102] $16 18%
Independent Health Essential [100166] $16 - $95 18%
Excellus Rochester McD [350117] $16 18%
Hospice [550001] $16 - $24 18%
Medicaid / KanCare $16 - $79 18%
Vna Option Mltc [350110] $16 18%
Tuscarora Nation [550120] $16 18%
Medicare (plans) $17 - $115 19%
Workers Compensation [500101] $21 - $39 24%
VA Veterans Affairs [700001] $21 24%
No Fault [114001] $21 - $39 24%
Beacon Essential [350122] $22 - $29 25%
Univera Healthcare [100169] $22 - $30 25%
Ghi [100153] $23 26%
Catholic Health Life Pace [400005] $24 27%
Fallon Health [450115] $24 27%
Cigna $24 - $36 27%
Covid19 Hrsa [45013] $24 27%
Seneca Nation [450119] $24 27%
Champ VA [700002] $24 27%
Tricare $24 27%
Fidelis Exchange [100164] $25 - $29 28%
Wellcare Fidelis Dual [450451] $26 29%
Fidelis Dual Advantage [450120] $26 29%
Aetna $26 29%
Humana $26 29%
Iha First Choice [800001] $27 - $130 30%
Wellcare [450129] $27 30%
Independent Health [100165] $27 - $190 30%
Beacon Health Options [100023] $29 33%
Mvp Healthcare [100168] $31 35%
Federal Workers Compensation [500100] $39 44%
UPMC Health Plan [100181] $44 49%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2157 Main Street, Buffalo, NY 14214
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals