CMS Price Transparency Data

X-ray, chest (single view)

Facility: Othello Community Hospital

Billing Code: 71045 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 71045
  • Insurance Median: $245
  • Cash Discount Price: $230
  • vs. Medicare Baseline: 2.76x Medicare
The contracted insurance negotiated median rate for a X-ray, chest (single view) at Othello Community Hospital is $245. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $230. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 2.76x the Medicare baseline. Located in 315 North 14Th Avenue, Othello, WA.
Cash / Self-Pay
$230

Average discount available for prompt cash payment at this facility.

Insurance Median
$245

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: $230 (259%)
Insurance Median: $245 (276%)
Cash: $230 (259% of Medicare)
Ins. Median: $245 (276% 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 276% of the Medicare baseline (a markup of 176%). 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
Ambetter / Centene $130 - $132 146%
Amerigroup Mcaid $130 146%
Chp Mcaid $130 146%
Cocare - All Plans $130 146%
Gau - All Plans $130 146%
Kaiser - All Plans $130 146%
Molina Mcaid $130 146%
UnitedHealthcare $130 - $306 146%
Chp - All Other Plans $132 148%
Molina - All Other Plans $132 148%
Medicare (plans) $153 172%
Tricare $199 224%
Triwest - All Plans $199 224%
Asuris - All Plans $245 276%
Commercial Other - All Plans $245 276%
Hma - All Plans $245 276%
Hmso - All Plans $245 276%
Tpsc - All Plans $245 276%
Travelers - All Plans $245 276%
Veterans Admin - All Plans $245 276%
Blue Cross Blue Shield $257 289%
Cigna $272 306%
First Choice - All Plans $275 309%
Aetna $288 324%
Chp Mcr Adv $306 344%
Health Alliance Mcr Adv - All Plans $306 344%
Humana $306 344%
Molina Mcare $306 344%
Wellcare Mcr Adv - All Plans $306 344%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 315 North 14Th Avenue, Othello, WA 99344
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals