CMS Price Transparency Data

X-ray, chest (single view)

Facility: Childrens Hospital of Wisconsin Fox Valley

Billing Code: 71045 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 71045
Insurance Median: $145
Cash Discount Price: $94
vs. Medicare Baseline: 1.63x Medicare

The contracted insurance negotiated median rate for a X-ray, chest (single view) at Childrens Hospital of Wisconsin Fox Valley is $145. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $94. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.63x the Medicare baseline. Located in 130 Second St, Neenah, WI.

Cash / Self-Pay

$94

Average discount available for prompt cash payment at this facility.

Insurance Median

$145

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: $94 (106%)

Insurance Median: $145 (163%)

Cash: $94 (106% of Medicare)

Ins. Median: $145 (163% 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.

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
Froedtert Health	$120 - $145	135%
Medical College Of Wisconsin	$120	135%
Network Health Plan	$122	137%
UnitedHealthcare	$126 - $130	142%
Aspirus Health Plan	$128	144%
Common Ground Healthcare Cooperative	$128 - $145	144%
Trilogy Health Solutions	$128 - $145	144%
Wps Health Plan	$130 - $154	146%
Advocate Aurora Healthcare	$132	148%
Blue Cross Blue Shield	$133 - $162	150%
Centivo	$133	150%
Health Partners	$133 - $150	150%
Employer Health Care Alliance Cooperative	$134	151%
Dean Health Plan	$137	154%
Group Health Cooperative Of Eau Claire	$137	154%
Oan Llc	$137	154%
Security Health Plan	$142	160%
Health Payment Systems	$145	163%
Praire States	$145	163%
Quartz Health Insurance	$145	163%
Sheboygan Employer'S Health Network	$145	163%
America'S Ppo	$149	168%
Aetna	$150 - $152	169%
Bellin Thedacare	$154	173%
Cigna	$154	173%
Group Health Cooperative Of South Central Wisconsin	$154	173%
Healthsmart	$154	173%
Prevea Health Network	$154	173%
Multiplan	$156 - $162	175%
Coventry Health Care	$162	182%

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 $94.
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 Childrens Hospital of Wisconsin Fox Valley 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.