CMS Price Transparency Data
X-ray, chest (single view)
Facility: Tomah Memorial Hospital
Billing Code: 71045 (CPT)
The BaseRate · fair price medium confidence
A fair price for this
$35
about 0.4× the $89 Medicare rate · typically $14–$75
modeled estimate · not a bill or quote
Medicare pays $89 Fair price $35 Cash price $93 Hospital's list price $162
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
5 of 6 major insurers have a published price at this hospital
✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente
Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.
| Insurance company | Price range | vs. Medicare |
|---|---|---|
| UnitedHealthcaremajor | $6 - $198 | 7% |
| Blue Cross Blue Shieldmajor | $8 - $193 | 9% |
| Aetnamajor | $9 - $178 | 10% |
| Cignamajor | $110 - $203 | 124% |
| Humanamajor | $71 - $194 | 80% |
| Quartz | $8 - $189 | 9% |
| + 8 smaller / regional plans | $8 - $315 |
Government programs also on file: Military & VA.
Self-Pay How to get the cash price
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Other Procedures at Tomah Memorial Hospital
Compare: X-ray, chest (single view) at other WI hospitals
- Upland Hills Health · Dodgeville $21
- Fort Memorial Hospital · Fort Atkinson $25
- Unitypoint Health - Meriter · Madison $25
- The Monroe Clinic · Monroe $30
- Ripon Medical Center · Ripon $36
- Waupun Memorial Hospital · Waupun $36
- Ascension Columbia St Marys Hospital Milwaukee · Milwaukee $42
- Ascension Sacred Heart Rehabilitation Hospital · Mequon $42
Insurance negotiated median for the same procedure, sorted lowest first.