CMS Price Transparency Data

X-ray, chest (two views)

Facility: University of Wi Hospitals & Clinics Authority

Billing Code: 71046 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 71046
  • Insurance Median: $285
  • Cash Discount Price: $293
  • vs. Medicare Baseline: 3.21x Medicare
The contracted insurance negotiated median rate for a X-ray, chest (two views) at University of Wi Hospitals & Clinics Authority is $285. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $293. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 3.21x the Medicare baseline. Located in 600 Highland Avenue, Madison, WI.
Cash / Self-Pay
$293

Average discount available for prompt cash payment at this facility.

Insurance Median
$285

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: $293 (330%)
Insurance Median: $285 (321%)
Cash: $293 (330% of Medicare)
Ins. Median: $285 (321% 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 321% of the Medicare baseline (a markup of 221%). 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
Aetna $89 - $392 100%
Blue Cross Blue Shield $89 - $465 100%
Humana $89 100%
Medicare (plans) $89 - $91 100%
UnitedHealthcare $89 - $306 100%
Alliance_Premier_Network $234 263%
Mercycare $243 273%
Triology $249 - $298 280%
Security_Health_Plan $264 - $311 297%
Employer'S_Coalition_On_Health $269 - $377 303%
Alliance $275 309%
Hfn $279 - $377 314%
United_Healthcare $280 - $415 315%
Beloit_Health_System $284 319%
Aspirus_Health_Plan $286 322%
Cigna $293 330%
Health_Partners_Insurance $298 335%
Health_Payment_Systems $300 337%
Dean_Health_Plan $313 352%
Medical_Associates $323 363%
Wps $339 - $373 381%
Employers_Healthcare_Coalition_Of_Wi $342 385%
Aspirus_Network_Inc $377 424%
Chorus_Community $391 440%
Ghc_Eau_Claire_Health_Plan $391 440%
Multiplan $391 - $450 440%
Sheybogan_Employers_Health_Network $391 440%
Coventry $416 468%
Dean_Care $416 468%
Healthsmart $430 484%

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