CMS Price Transparency Data

X-ray, chest (single view)

Facility: UPMC Hanover

Billing Code: 71045 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 71045
Insurance Median: $60
Cash Discount Price: $104
vs. Medicare Baseline: 0.67x Medicare

The contracted insurance negotiated median rate for a X-ray, chest (single view) at UPMC Hanover is $60. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $104. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 0.67x the Medicare baseline. Located in 300 Highland Ave, Hanover, PA.

Cash / Self-Pay

$104

Average discount available for prompt cash payment at this facility.

Insurance Median

$60

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: $104 (117%)

Insurance Median: $60 (67%)

Cash: $104 (117% of Medicare)

Ins. Median: $60 (67% 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
Blue Cross Blue Shield	$6 - $299	7%
Keystone Health Plan	$6 - $213	7%
Prime Net	$8 - $98	9%
UnitedHealthcare	$11 - $231	12%
Aetna	$19 - $229	21%
Amerihealth Caritas	$20	22%
Highmark Wholecare (Prev Gateway)	$20	22%
Upmc Health Plan	$20 - $220	22%
Health Partners Plans (Jefferson Health Plan)	$21	24%
Geisinger	$22 - $227	25%
Pa Health & Wellness	$26 - $91	29%
Premier Comp Solutions	$26	29%
Upmc Work Partners	$26	29%
Carefirst	$29 - $267	33%
Multiplan	$29 - $267	33%
Wellspan Population Health	$30 - $273	34%
Humana	$84	94%
Cigna	$88 - $419	99%
Keystone Autism Services	$135	152%

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 $104.
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 UPMC Hanover 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.