CMS Price Transparency Data

X-ray, chest (single view)

Facility: University of Wi Hospitals & Clinics Authority

Billing Code: 71045 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 71045
  • Insurance Median: $214
  • Cash Discount Price: $221
  • vs. Medicare Baseline: 2.41x Medicare
The contracted insurance negotiated median rate for a X-ray, chest (single view) at University of Wi Hospitals & Clinics Authority is $214. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $221. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 2.41x the Medicare baseline. Located in 600 Highland Avenue, Madison, WI.
Cash / Self-Pay
$221

Average discount available for prompt cash payment at this facility.

Insurance Median
$214

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: $221 (249%)
Insurance Median: $214 (241%)
Cash: $221 (249% of Medicare)
Ins. Median: $214 (241% 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 241% of the Medicare baseline (a markup of 141%). 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
Blue Cross Blue Shield $70 - $350 79%
Aetna $89 - $295 100%
Humana $89 100%
Medicare (plans) $89 - $91 100%
UnitedHealthcare $89 - $230 100%
Alliance_Premier_Network $176 198%
Mercycare $183 206%
Triology $188 - $224 211%
Security_Health_Plan $199 - $234 224%
Employer'S_Coalition_On_Health $202 - $283 227%
Alliance $207 233%
Hfn $210 - $283 236%
United_Healthcare $211 - $312 237%
Beloit_Health_System $213 240%
Aspirus_Health_Plan $215 242%
Cigna $221 249%
Health_Partners_Insurance $224 252%
Health_Payment_Systems $226 254%
Dean_Health_Plan $236 265%
Medical_Associates $243 273%
Wps $255 - $281 287%
Employers_Healthcare_Coalition_Of_Wi $258 290%
Aspirus_Network_Inc $283 318%
Chorus_Community $294 331%
Ghc_Eau_Claire_Health_Plan $294 331%
Multiplan $294 - $339 331%
Sheybogan_Employers_Health_Network $294 331%
Coventry $313 352%
Dean_Care $313 352%
Healthsmart $324 364%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 600 Highland Avenue, Madison, WI 53792
  • CMS Rating: ★★★★★
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals