CMS Price Transparency Data

X-ray, chest (single view)

Facility: Ascension Seton Southwest

Billing Code: 71045 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 71045
Insurance Median: $85
Cash Discount Price: $285
vs. Medicare Baseline: 0.96x Medicare

The contracted insurance negotiated median rate for a X-ray, chest (single view) at Ascension Seton Southwest is $85. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $285. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 0.96x the Medicare baseline. Located in 7900 Fm 1826, Austin, TX.

Cash / Self-Pay

$285

Average discount available for prompt cash payment at this facility.

Insurance Median

$85

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: $285 (321%)

Insurance Median: $85 (96%)

Cash: $285 (321% of Medicare)

Ins. Median: $85 (96% 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
Champva	$13 - $21	15%
Blue Cross Blue Shield	$21 - $323	24%
Dell Chip/Chip Perinate	$21	24%
Dell Star	$21	24%
UnitedHealthcare	$21 - $87	24%
Wellpoint Chip/Chip Perinate	$21 - $26	24%
Wellpoint Star	$21	24%
Wellpoint Star Plus	$21 - $26	24%
Ambetter / Centene	$26 - $154	29%
Wellpoint Star Kids	$26	29%
Humana	$30 - $85	34%
Aarp Mc Wellmed	$84	94%
Sendero Chap	$84	94%
Addr Cancer Together	$85	96%
Aetna	$85 - $161	96%
Covid Hrsa	$85	96%
Cshcn Cidc	$85	96%
Devoted Health Mcr Replacement	$85	96%
Medicare (plans)	$85	96%
Research Study	$85	96%
Smarthealth	$85	96%
Superior Allwell	$85	96%
Tricare	$85	96%
Wellcare Med Advantage	$85	96%
Connected Senior Care	$88	99%
Pphp Mcr Advantage	$90	101%
Tx Independence Hp	$90	101%
Occunet	$119	134%
Sendero Idealcare	$149	168%
Covenant Health	$161	181%
Cigna	$194	218%
Superior Star	$299 - $335	336%
Superior Star Foster	$299 - $335	336%
Superior Star Kids	$299 - $335	336%
Superior Star Plus	$299 - $335	336%
Superior Chip/Chip Perinate	$336 - $377	378%

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 $285.
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 Ascension Seton Southwest 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.