CMS Price Transparency Data

X-ray, chest (single view)

Facility: Prosser Memorial Hospital

Billing Code: 71045 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 71045
Insurance Median: $32
Cash Discount Price: $21
vs. Medicare Baseline: 0.36x Medicare

The contracted insurance negotiated median rate for a X-ray, chest (single view) at Prosser Memorial Hospital is $32. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $21. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 0.36x the Medicare baseline. Located in 723 Memorial Street, Prosser, WA.

Cash / Self-Pay

$21

Average discount available for prompt cash payment at this facility.

Insurance Median

$32

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: $21 (24%)

Insurance Median: $32 (36%)

Cash: $21 (24% of Medicare)

Ins. Median: $32 (36% 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
Amerigroup	$5 - $203	6%
Community Health Plan Of Washington	$5 - $192	6%
Coordinated Care	$5 - $192	6%
Kaiser Permanente	$5 - $430	6%
Molina	$5 - $192	6%
UnitedHealthcare	$5 - $378	6%
Aetna	$10 - $402	11%
Health Alliance Northwest	$10 - $118	11%
Humana	$10 - $402	11%
Wellcare	$10 - $118	11%
Cigna	$11 - $388	12%
Premera	$12 - $378	13%
Asuris	$13 - $426	15%
Health Management Adminstrators	$13 - $426	15%
Regence	$13 - $426	15%
Ambetter / Centene	$18 - $364	20%
Multiplan	$32 - $426	36%
First Choice	$402	452%

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 $21.
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 Prosser Memorial Hospital 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.