CMS Price Transparency Data

X-ray, chest (single view)

Facility: Texas Health Presbyterian Hospital Flower Mound

Billing Code: 71045 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 71045
Insurance Median: $300
Cash Discount Price: $383
vs. Medicare Baseline: 3.37x Medicare

The contracted insurance negotiated median rate for a X-ray, chest (single view) at Texas Health Presbyterian Hospital Flower Mound is $300. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $383. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 3.37x the Medicare baseline. Located in 4400 Long Prairie Road, Flower Mound, TX.

Cash / Self-Pay

$383

Average discount available for prompt cash payment at this facility.

Insurance Median

$300

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: $383 (431%)

Insurance Median: $300 (337%)

Cash: $383 (431% of Medicare)

Ins. Median: $300 (337% 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 337% of the Medicare baseline (a markup of 237%). 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
Amerigroup	$26 - $92	29%
Blue Cross Blue Shield	$26 - $630	29%
Cook Childrens	$26	29%
UnitedHealthcare	$26 - $722	29%
Superior Wellcare	$27 - $96	30%
Aetna	$28 - $448	31%
Molina	$28 - $92	31%
American Health	$87	98%
Healthspring	$89	100%
Humana	$91	102%
Fort Worth Firefighters	$280 - $390	315%
City Of Fort Worth	$300	337%
Cigna	$353 - $601	397%
Quick Trip	$383 - $402	431%
Phcs	$444 - $476	499%
Healthsmart	$479 - $536	539%
Multiplan	$556	625%
Galaxy	$562	632%
Usa	$562	632%

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 $383.
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 Texas Health Presbyterian Hospital Flower Mound 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.