CMS Price Transparency Data

X-ray, chest (single view)

Facility: St David's Medical Center

Billing Code: 71045 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 71045
  • Insurance Median: $220
  • Cash Discount Price: $881
  • vs. Medicare Baseline: 2.47x Medicare
The contracted insurance negotiated median rate for a X-ray, chest (single view) at St David's Medical Center is $220. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $881. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 2.47x the Medicare baseline. Located in 919 E 32Nd St, Austin, TX.
Cash / Self-Pay
$881

Average discount available for prompt cash payment at this facility.

Insurance Median
$220

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: $881 (991%)
Insurance Median: $220 (247%)
Cash: $881 (991% of Medicare)
Ins. Median: $220 (247% 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 247% of the Medicare baseline (a markup of 147%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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
St David’S Hospice $26 29%
Blue Cross Blue Shield $27 - $281 30%
United $27 - $396 30%
Molina Healthcare $28 31%
Aetna $32 - $162 36%
Humana $32 36%
Sendero $32 36%
Superior Health Plan $44 - $150 49%
Cigna $107 - $136 120%
Amerigroup $123 138%
Moda $207 233%
Covenant Management Systems $254 286%
Healthcare Highways $256 - $264 288%
Imo Med - Select Network $264 297%
Nomi Health $282 - $326 317%
Moda Health $317 - $326 357%
Evry Health $324 364%
Texas Healthcare Foundation Heb $326 367%
Texas Workforce Commission $344 387%
Curative Administrators $352 396%
Harbor Health Team $352 396%
Averde Health $396 445%
Comanche County $440 495%
National Choicecare $440 495%
Healthsmart Preferred Care $485 - $705 545%
Independent Medical Systems $485 545%
Physicians Cooperative Of Texas $485 545%
Prime Health $529 595%
First Health $555 - $633 624%
Coastal Comp Health Networks $573 644%
National Health Care $573 644%
Occunet $617 694%
Texas Municipal League $617 694%
Medcorp Southwest $661 743%
Rockport Healthcare Group $705 - $793 793%
Bce Emergis Corporation $793 892%
Beech Street $793 892%
Medical Control Network Solutions $793 892%
Multiplan $793 892%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 919 E 32Nd St, Austin, TX 78705
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals