CMS Price Transparency Data

X-ray, chest (single view)

Facility: Rehabilitation Hospital of Wisconsin

Billing Code: 71045 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 71045
  • Insurance Median: $334
  • Cash Discount Price: $363
  • vs. Medicare Baseline: 3.76x Medicare
The contracted insurance negotiated median rate for a X-ray, chest (single view) at Rehabilitation Hospital of Wisconsin is $334. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $363. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 3.76x the Medicare baseline. Located in 1625 Coldwater Creek Dr, Waukesha, WI.
Cash / Self-Pay
$363

Average discount available for prompt cash payment at this facility.

Insurance Median
$334

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: $363 (408%)
Insurance Median: $334 (376%)
Cash: $363 (408% of Medicare)
Ins. Median: $334 (376% 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 376% of the Medicare baseline (a markup of 276%). 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
Alliance Ppo $230 - $271 259%
Dean Ppo Hmo/Pos $230 - $271 259%
Medica (Under Dean) $230 - $271 259%
UnitedHealthcare $234 - $393 263%
Trilogy Ppo $240 - $393 270%
Wps "Insurance" Ppo $244 - $287 274%
Phcs Savility $250 - $295 281%
Hps Solutions Ppo $254 - $299 286%
Aetna $260 - $393 292%
Health Eos Poc $267 - $314 300%
Coventry/First Health Ppo $274 - $322 308%
Hps (Other) $274 - $322 308%
Health Eos Multiplan $284 - $334 319%
Phcs / Multiplan $307 - $361 345%
All Savers $334 - $393 376%
Blue Cross Blue Shield $334 - $393 376%
Centivo Broad $334 - $393 376%
Centivo Intermediate/Median $334 - $393 376%
Centivo Narrow/Value $334 - $393 376%
Children'S Communty Health Plan(Cchp) $334 - $393 376%
Cigna $334 - $393 376%
Community Care, Inc $334 - $393 376%
Humana $334 - $393 376%
Icare Mcd $334 - $393 376%
Managed Health Services (Mhs) $334 - $393 376%
Medicaid / KanCare $334 - $393 376%
Medicare (plans) $334 - $393 376%
Molina (Fka Care Wisconsin) $334 - $393 376%
Network Health - Aca $334 - $393 376%
Network Health - Commercial $334 - $393 376%
Quartz (Self Funded) / Unity Health Plan (Hmo/Pos) $334 - $393 376%
Security Health Plan - Advocare $334 - $393 376%
Together With Cchp $334 - $393 376%
Unity Health Plan And Unity Quartz(Hmo/Pos) $334 - $393 376%
Va - Primary Only - Authorization Required $334 - $393 376%
Wellcare Mcr $334 - $393 376%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1625 Coldwater Creek Dr, Waukesha, WI 53188
  • CMS Rating: No CMS Rating
  • Ownership Type: N/A
  • Hospital Type: PART A PROVIDER - HOSPITAL