CMS Price Transparency Data

X-ray, chest (single view)

Facility: Gundersen Moundview Hospital and Clinics

Billing Code: 71045 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 71045
Insurance Median: $242
Cash Discount Price: $171
vs. Medicare Baseline: 2.72x Medicare

The contracted insurance negotiated median rate for a X-ray, chest (single view) at Gundersen Moundview Hospital and Clinics is $242. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $171. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 2.72x the Medicare baseline. Located in 402 W Lake St, Friendship, WI.

Cash / Self-Pay

$171

Average discount available for prompt cash payment at this facility.

Insurance Median

$242

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: $171 (192%)

Insurance Median: $242 (272%)

Cash: $171 (192% of Medicare)

Ins. Median: $242 (272% 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 272% of the Medicare baseline (a markup of 172%). 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
Amerigroup	$24	27%
Blue Cross Blue Shield	$153 - $337	172%
Health Partners	$153 - $294	172%
Security Health Plan	$153	172%
Ucare	$153 - $266	172%
Iowa Total Care	$172	193%
Managed Health Service	$172	193%
Quartz	$181	204%
UnitedHealthcare	$207	233%
Wps	$257	289%
Wps - Arise	$257	289%
Alliance	$266 - $316	299%
Aspirus Arise Health	$276	310%
Humana	$283	318%
Multiplan/Healtheos	$293 - $320	330%
Coventry Health Care	$316	355%
Dean Health Plan	$442	497%

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 $171.
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 Gundersen Moundview Hospital and Clinics 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.