CMS Price Transparency Data

X-ray, chest (single view)

Facility: Penn Highlands Connellsville

Billing Code: 71045 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 71045
Insurance Median: $17
Cash Discount Price: $640
vs. Medicare Baseline: 0.19x Medicare

The contracted insurance negotiated median rate for a X-ray, chest (single view) at Penn Highlands Connellsville is $17. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $640. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 0.19x the Medicare baseline. Located in 401 East Murphy Avenue, Connellsville, PA.

Cash / Self-Pay

$640

Average discount available for prompt cash payment at this facility.

Insurance Median

$17

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: $640 (720%)

Insurance Median: $17 (19%)

Cash: $640 (720% of Medicare)

Ins. Median: $17 (19% 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
Geisinger	$7 - $85	8%
Medicaid / KanCare	$7 - $15	8%
Upmc	$7 - $586	8%
Blue Cross Blue Shield	$8 - $359	9%
Medicare (plans)	$8 - $85	9%
UnitedHealthcare	$8 - $162	9%
Aetna	$44 - $831	49%
Cigna	$86 - $373	97%

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 $640.
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 Penn Highlands Connellsville 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.