CMS Price Transparency Data

X-ray, chest (single view)

Facility: Forks Community Hospital

Billing Code: 71045 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 71045
Insurance Median: $201
Cash Discount Price: $300
vs. Medicare Baseline: 2.26x Medicare

The contracted insurance negotiated median rate for a X-ray, chest (single view) at Forks Community Hospital is $201. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $300. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 2.26x the Medicare baseline. Located in 530 Bogachiel Way, Forks, WA.

Cash / Self-Pay

$300

Average discount available for prompt cash payment at this facility.

Insurance Median

$201

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: $300 (337%)

Insurance Median: $201 (226%)

Cash: $300 (337% of Medicare)

Ins. Median: $201 (226% 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 226% of the Medicare baseline (a markup of 126%). 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
Medicaid / KanCare	$58 - $213	65%
Coordinated Care (Mco) Mcd-All Plans	$63 - $217	71%
UnitedHealthcare	$75 - $494	84%
Community Health Network Mcr-All Other Plans	$76 - $261	85%
Humana	$76 - $261	85%
Tricare	$76 - $261	85%
Triwest-All Plans	$76 - $261	85%
Ambetter / Centene	$88 - $303	99%
Wellcare Med Adv - All Plans	$88 - $303	99%
Regence-All Other Plans	$97 - $335	109%
Community Health Exchange	$109 - $378	123%
Molina Commercial-All Other Plans	$155 - $535	174%
Aetna	$160 - $552	180%
Blue Cross Blue Shield	$160 - $552	180%
Cigna	$168 - $581	189%
First Choice-All Plans	$168 - $581	189%
Medicare (plans)	$318	358%

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 $300.
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 Forks Community 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.