CMS Price Transparency Data
X-ray, chest (single view)
Facility: Saint Alphonsus Medical Center Ontario
Billing Code: 71045 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 71045
- Insurance Median: $78
- Cash Discount Price: $168
- vs. Medicare Baseline: 0.88x Medicare
The contracted insurance negotiated median rate for a X-ray, chest (single view) at Saint Alphonsus Medical Center Ontario is $78. 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 0.88x the Medicare baseline. Located in 351 Sw 9Th Street, Ontario, OR.
Cash / Self-Pay
$168
Average discount available for prompt cash payment at this facility.
Insurance Median
$78
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: $78 (88%)
Cash: $168 (189% of Medicare)
Ins. Median: $78 (88% 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.
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Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Medicaid / KanCare | $13 - $78 | 15% |
| Selecthealth | $68 - $233 | 76% |
| Ada County Jail Inmate Ins | $78 | 88% |
| Aetna | $78 - $245 | 88% |
| Ambetter / Centene | $78 | 88% |
| Amish Mennonite | $78 | 88% |
| Bcccp-Michigan | $78 | 88% |
| Bccp | $78 | 88% |
| Blue Cross Blue Shield | $78 - $258 | 88% |
| Bmc Healthnet | $78 | 88% |
| Breast Grant-Connecticut | $78 | 88% |
| California Health And Wellness | $78 | 88% |
| Cardinal Innovations Lme | $78 | 88% |
| Care Oregon Ohp | $78 | 88% |
| Cencal Health Plan | $78 | 88% |
| Cenpatico | $78 | 88% |
| Centurion Of Idaho | $78 | 88% |
| Chhuny | $78 | 88% |
| Childrens Comm Health Plan | $78 | 88% |
| Childrens Medical Services Title 19 | $78 | 88% |
| Cigna | $78 - $243 | 88% |
| Community Benefit Health | $78 | 88% |
| Community Care Behavorial Health | $78 | 88% |
| Community Health Choice | $78 | 88% |
| Covid19 Hrsa Uninsured Testing And Treatment Fund | $78 | 88% |
| Dean Wi Badgercare | $78 | 88% |
| Delaware First Health | $78 | 88% |
| Delta Dental Nj | $78 | 88% |
| Dph Tb Program | $78 | 88% |
| Dscc | $78 | 88% |
| Eastpointe Lme | $78 | 88% |
| Family Health Network | $78 | 88% |
| Freedom First Healthcare | $78 | 88% |
| Ghc Scw Wi Badgercare | $78 | 88% |
| Harbor Health | $78 | 88% |
| Health Safety Net | $78 | 88% |
| Healthy Blue Ne | $78 | 88% |
| Hennepin Health | $78 | 88% |
| Humana | $78 - $228 | 88% |
| Id County Ada | $78 | 88% |
| Id County Canyon | $78 | 88% |
| Id County Cat Fund | $78 | 88% |
| Id County Payette | $78 | 88% |
| Idaho Womens Health Check | $78 | 88% |
| Indiana Breast Cervical Cancer | $78 | 88% |
| Inland Empire Health Plan | $78 | 88% |
| Intercommunity Health Ohp | $78 | 88% |
| Iowa Total Care | $78 | 88% |
| Jai Medical System | $78 | 88% |
| Kern Family Health Plan | $78 | 88% |
| Keystone First | $78 | 88% |
| Keystone First Chip | $78 | 88% |
| La Care Health Plan | $78 | 88% |
| Lakeland Care Inc | $78 | 88% |
| Managed Health Services - Indiana | $78 | 88% |
| Maryland Breast & Cervical Program | $78 | 88% |
| Maryland Healthy Smiles - Scion Dental | $78 | 88% |
| Maryland Physicians Care | $78 | 88% |
| Massachusetts Behavioral Health Partnership | $78 | 88% |
| Mdwise | $78 | 88% |
| Medi-Cal | $78 | 88% |
| Medi-Cal Healthnet | $78 | 88% |
| Medstar Dc Healthy Family | $78 | 88% |
| Medstar Md Health Choice | $78 | 88% |
| Mo Home State Health Plan | $78 | 88% |
| Molina Centennial Care | $78 | 88% |
| Nascentia Health Options | $78 | 88% |
| Nebraska Total Care | $78 | 88% |
| New York Cancer Services Program | $78 | 88% |
| Nextlevel Health | $78 | 88% |
| Oregon Screenwise | $78 | 88% |
| Pace Of Southwest Michigan | $78 | 88% |
| Paramount Advantage | $78 | 88% |
| Parkland Community Health Plan | $78 | 88% |
| Partners Behavioral Lme | $78 | 88% |
| Peach State Healthplan | $78 | 88% |
| Presbyterian Centennial Care | $78 | 88% |
| Prestige Health Choice | $78 | 88% |
| Priority Partners | $78 | 88% |
| Rx 340B Pass Along | $78 | 88% |
| Rx Assistance/Rx Manufacturer Assistance 0 Copay | $78 | 88% |
| Rx Medi-Cal | $78 | 88% |
| Rx Meridian Rx | $78 | 88% |
| Sandhills Center Lme | $78 | 88% |
| Screening For Life | $78 | 88% |
| Sunshine State Health Plan | $78 | 88% |
| Superior Health | $78 | 88% |
| Tenncare | $78 | 88% |
| Texas Children'S Health Plan | $78 | 88% |
| Trillium Community Ohp | $78 | 88% |
| Tufts Health Public Plans | $78 | 88% |
| UnitedHealthcare | $78 - $249 | 88% |
| Vaya Health Lme | $78 | 88% |
| Wellsense Health Plan | $78 | 88% |
| Wi Womens Wellness | $78 | 88% |
| Medicare (plans) | $102 - $109 | 115% |
| American Health Advantage Of Idaho | $106 | 119% |
| Mountain Health Co-Op | $155 | 174% |
| Pacificsource Health Plans | $155 - $243 | 174% |
| Allegiance | $197 | 222% |
| Moda Health | $201 - $251 | 226% |
| Correctional Health Partners | $202 | 227% |
| Columbia Health Network | $207 | 233% |
| Healthnet | $218 | 245% |
| Healthcare Management Admin | $228 | 256% |
| Allied National Global Care | $233 | 262% |
| Asrm - Reliance Standard Life Insurance | $233 | 262% |
| Christian Care Ministry | $233 | 262% |
| Dean Health | $233 | 262% |
| Fallon Health | $233 | 262% |
| Family Life Insurance Company | $233 | 262% |
| First Choice Health | $233 | 262% |
| Ghc Scw | $233 | 262% |
| International Benefit Administrators | $233 | 262% |
| Lifetime Benefit Solutions | $233 | 262% |
| Manhattan Life | $233 | 262% |
| Pai | $233 | 262% |
| Pan-American Life | $233 | 262% |
| Paramount Hmo | $233 | 262% |
| Phcs | $233 | 262% |
| Trinity Health Share | $233 | 262% |
| Webtpa | $233 - $274 | 262% |
| Lifewise | $241 | 271% |
| Priority Health | $243 | 273% |
| Allied Benefit Systems | $245 | 276% |
| Ameriben | $245 | 276% |
| Asr Health Benefits | $245 | 276% |
| Christian Brother Services | $245 | 276% |
| Geha | $245 - $249 | 276% |
| Healthez | $245 | 276% |
| Luminare Health (Detroit) | $245 | 276% |
| Rural Carrier Health Benefit Plan | $245 | 276% |
| First Health | $246 | 277% |
| Medi Share | $246 | 277% |
| Providence | $246 | 277% |
| Blue Benefit Administrators Of Massachusetts | $258 | 290% |
| Blue Care Network | $258 | 290% |
| Blue Distinction Transplant | $258 | 290% |
| Blue Shield - Ca | $258 | 290% |
| Blue Shield - Id (Regence) | $258 | 290% |
| Blue Shield - Ny Highmark Northeastern | $258 | 290% |
| Blue Shield - Ny Highmark Western | $258 | 290% |
| Blue Shield - Pa (Highmark) | $258 | 290% |
| Blue Shield - Wa (Regence) | $258 | 290% |