CMS Price Transparency Data

X-ray, chest (single view)

Facility: Indiana Regional Medical Center

Billing Code: 71045 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 71045
  • Insurance Median: $62
  • Cash Discount Price: $121
  • vs. Medicare Baseline: 0.70x Medicare
The contracted insurance negotiated median rate for a X-ray, chest (single view) at Indiana Regional Medical Center is $62. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $121. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 0.70x the Medicare baseline. Located in 835 Hospital Road, Indiana, PA.
Cash / Self-Pay
$121

Average discount available for prompt cash payment at this facility.

Insurance Median
$62

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: $121 (136%)
Insurance Median: $62 (70%)
Cash: $121 (136% of Medicare)
Ins. Median: $62 (70% 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 $9 - $134 10%
Upmc Health Plan $10 - $154 11%
Ambetter / Centene $11 - $94 12%
Amerihealth Caritas $11 - $94 12%
Geisinger Health Plan $11 - $94 12%
Highmark $20 - $250 22%
Humana $23 - $89 26%
Aetna $24 - $278 27%
Cigna $24 - $231 27%
Highmark Wholecare $24 - $91 27%
Medicare (plans) $24 - $91 27%
Tricare $24 - $335 27%
United Mine Workers Of America $24 - $91 27%
Geisinger $33 - $254 37%
Pa Health And Wellness Commercial $33 - $254 37%
Department Of Human Services And Torrance State Hospital $211 237%
Premier Comp Solutions, Llc $302 340%
Miscellaneous Commercial $335 377%
Pa Workers Compensation $335 377%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 835 Hospital Road, Indiana, PA 15701
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals