CMS Price Transparency Data

X-ray, chest (single view)

Facility: Marshfield Medical Center

Billing Code: 71045 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 71045
Insurance Median: $402
Cash Discount Price: $420
vs. Medicare Baseline: 4.52x Medicare

The contracted insurance negotiated median rate for a X-ray, chest (single view) at Marshfield Medical Center is $402. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $420. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 4.52x the Medicare baseline. Located in 611 St Joseph Ave, Marshfield, WI.

Cash / Self-Pay

$420

Average discount available for prompt cash payment at this facility.

Insurance Median

$402

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: $420 (472%)

Insurance Median: $402 (452%)

Cash: $420 (472% of Medicare)

Ins. Median: $402 (452% 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 452% of the Medicare baseline (a markup of 352%). 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
Security Health Plan (Shp)	$89 - $122	100%
Blue Cross Blue Shield	$119 - $135	134%
Family Health Center (Fhc)	$221	249%
Amish/Mennonite	$243	273%
Sanford Health Plan	$243	273%
The Alliance	$307 - $369	345%
Group Health Cooperative Of Eau Claire	$362 - $407	407%
Besse Forest Products	$376	423%
Molina Healthcare Of Wi	$376	423%
Rice Lake School District	$376	423%
Wps Health Insurance	$390 - $427	439%
Trilogy	$398 - $424	448%
Medica Of Wi	$410 - $419	461%
Cigna	$415	467%
Healtheos By Multiplan Inc.	$415 - $420	467%
Corvel	$420	472%
First Health	$420	472%
Health Partners	$420	472%
Three Rivers Provider Network (Trpn)	$420	472%
Coventry	$424	477%
Health Smart	$424	477%
Rising Medical Work Comp	$429	483%
UnitedHealthcare	$484	544%

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 $420.
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 Marshfield Medical Center 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.