CMS Price Transparency Data

X-ray, chest (single view)

Facility: Independence Health System Butler Memorial Hospita

Billing Code: 71045 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 71045
Insurance Median: $93
Cash Discount Price: $144
vs. Medicare Baseline: 1.05x Medicare

The contracted insurance negotiated median rate for a X-ray, chest (single view) at Independence Health System Butler Memorial Hospita is $93. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $144. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.05x the Medicare baseline. Located in One Hospital Way, Butler, PA.

Cash / Self-Pay

$144

Average discount available for prompt cash payment at this facility.

Insurance Median

$93

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: $144 (162%)

Insurance Median: $93 (105%)

Cash: $144 (162% of Medicare)

Ins. Median: $93 (105% 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
Medicaid / KanCare	$15	17%
UnitedHealthcare	$15 - $217	17%
Gateway	$16 - $216	18%
Upmc	$16 - $216	18%
Amerihealth	$17 - $89	19%
Geisinger	$17 - $206	19%
Jefferson Health Plan	$17	19%
Aetna	$18 - $195	20%
Pnoa	$26 - $165	29%
Highmark	$39 - $179	44%
Highmark - Ind.& Managed Care	$39 - $199	44%
Highmark Aca - Direct Blue	$39 - $112	44%
Highmark Community Blue	$39 - $175	44%
Ellwood Group	$62 - $169	70%
Martin'S Point - Usfhp	$72 - $85	81%
Devoted Health Plan	$82 - $90	92%
Ccbh - Behavioral Health	$84 - $103	94%
Workers Comp	$84	94%
Life Butler County	$85	96%
Medicare (plans)	$85	96%
Peak Health	$85 - $199	96%
Provider Partners	$85	96%
Tricare	$85	96%
Humana	$88	99%
The Health Plan	$90 - $199	101%
Pa Health & Wellness	$91	102%
American Health Plan	$93	105%
Cigna	$103 - $194	116%
Private Healthcare Systems	$144 - $175	162%
Devon	$154	173%
Intergroup	$165	186%
Multiplan	$185	208%

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 $144.
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 Independence Health System Butler Memorial Hospita 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.