CMS Price Transparency Data

X-ray, chest (single view)

Facility: Geisinger Wyoming Valley Medical Center

Billing Code: 71045 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 71045
Insurance Median: $221
Cash Discount Price: $321
vs. Medicare Baseline: 2.49x Medicare

The contracted insurance negotiated median rate for a X-ray, chest (single view) at Geisinger Wyoming Valley Medical Center is $221. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $321. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 2.49x the Medicare baseline. Located in 1000 East Mountain Boulevard, Wilkes Barre, PA.

Cash / Self-Pay

$321

Average discount available for prompt cash payment at this facility.

Insurance Median

$221

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: $321 (361%)

Insurance Median: $221 (249%)

Cash: $321 (361% of Medicare)

Ins. Median: $221 (249% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 249% of the Medicare baseline (a markup of 149%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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%
Geisinger Family Plan	$16	18%
Amerihealth	$18	20%
Upmc For You	$18	20%
Health Partners	$19	21%
Upmc Chip	$19	21%
Blue Cross Blue Shield	$84 - $120	94%
Geisinger Health Plan	$87 - $267	98%
Humana	$87	98%
Life Geisinger	$87	98%
Medicare (plans)	$87 - $98	98%
Prison Health Services	$87	98%
Cigna	$224 - $234	252%
Aetna	$241 - $345	271%
Christian Healthcare Ministries	$258	290%
UnitedHealthcare	$264	297%
Ambetter / Centene	$287	323%
Wyoming Seminary	$362	407%
Intergroup Services	$439	494%
Multiplan	$439	494%

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 $321.
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 Geisinger Wyoming Valley Medical Center 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.