CMS Price Transparency Data

X-ray, chest (single view)

Facility: St Anthony Community Hospital

Billing Code: 71045 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 71045
  • Insurance Median: $112
  • Cash Discount Price: $1,488
  • vs. Medicare Baseline: 1.26x Medicare
The contracted insurance negotiated median rate for a X-ray, chest (single view) at St Anthony Community Hospital is $112. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,488. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.26x the Medicare baseline. Located in 15 Maple Avenue -19, Warwick, NY.
Cash / Self-Pay
$1,488

Average discount available for prompt cash payment at this facility.

Insurance Median
$112

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: $1,488 (1674%)
Insurance Median: $112 (126%)
Cash: $1,488 (1674% of Medicare)
Ins. Median: $112 (126% 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.

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
Blue Cross Blue Shield $10 - $595 11%
Self-Pay $11 12%
Emblem $41 - $78 46%
Emblem Select Care (Exchange) $49 55%
Aetna $53 - $59 60%
Emblem Ghi/Hip PPO $58 65%
Cigna $68 - $1,042 76%
Mvp Exchange $73 82%
Hamaspik (McR) $108 121%
Mvp Gold (McR) $108 121%
Medicare (plans) $108 - $116 121%
Tricare $109 123%
Affinity By Molina McR $114 128%
Mvp Hmo/Ppo $142 160%
Geisinger Health Commercial/Exchange $357 402%
Self-Pay - Cc 30% $446 502%
Cdphp $744 837%
Self-Pay - Cc 50% $744 837%
PHCS $1,116 1255%
Multiplan $1,116 1255%
Emblem Ghi/Hip Hmo/Epo/Pos $1,190 1338%
Oxford Commercial $1,244 1399%
First Health $1,265 1423%
Magnacare Preferred $1,339 1506%
Oxford Exchange $1,351 1520%
UnitedHealthcare $1,351 - $1,589 1520%
Mvp $15,061 - $17,751 16940%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 15 Maple Avenue -19, Warwick, NY 10990
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals