CMS Price Transparency Data

X-ray, chest (single view)

Facility: Highland Hospital

Billing Code: 71045 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 71045
Insurance Median: $43
Cash Discount Price: $371
vs. Medicare Baseline: 0.48x Medicare

The contracted insurance negotiated median rate for a X-ray, chest (single view) at Highland Hospital is $43. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $371. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 0.48x the Medicare baseline. Located in 1000 South Avenue, Rochester, NY.

Cash / Self-Pay

$371

Average discount available for prompt cash payment at this facility.

Insurance Median

$43

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: $371 (417%)

Insurance Median: $43 (48%)

Cash: $371 (417% of Medicare)

Ins. Median: $43 (48% 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.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Amerigroup (Bswny Alternate) [1720]	$10	11%
Excellus [2201]	$10	11%
Medicaid / KanCare	$10 - $52	11%
Molina Healthcare [5189], Molina Healthcare [1723]	$10	11%
UnitedHealthcare	$10 - $115	11%
Mvp [2900]	$11 - $294	12%
Fidelis [5155]	$22 - $54	25%
Aetna	$24 - $135	27%
Elderplan [1316]	$24	27%
Excellus Bc/Bs [2201]	$24 - $44	27%
Humana	$24 - $133	27%
Icircle [1728]	$24	27%
Martins Point [1205]	$24 - $109	27%
Medicare (plans)	$24 - $144	27%
Nascentia [1729]	$24	27%
Highmark Bc/Bs Of Western Ny [5143]	$25 - $27	28%
Independent Health [5156]	$29 - $35	33%
Excellus Bc/Bs [2201], Bc/Bs Out Of Area [2401]	$34 - $83	38%
Cigna	$57 - $325	64%
Capital District Physicians Health Plan (Cdphp) [5149]	$64 - $85	72%
Blue Cross Blue Shield	$109 - $155	123%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $371.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 71045.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Highland Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 71045.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.