CMS Price Transparency Data

X-ray, chest (single view)

Facility: Margaretville Memorial Hospital

Billing Code: 71045 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 71045
  • Insurance Median: $145
  • Cash Discount Price: $227
  • vs. Medicare Baseline: 1.63x Medicare
The contracted insurance negotiated median rate for a X-ray, chest (single view) at Margaretville Memorial Hospital is $145. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $227. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.63x the Medicare baseline. Located in 42084 State Highway 28, Margaretville, NY.
Cash / Self-Pay
$227

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: $227 (255%)
Insurance Median: $145 (163%)
Cash: $227 (255% 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.

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 - $201 11%
Self-Pay $11 12%
Aetna $54 - $329 61%
Mvp $72 81%
Emblem $74 - $87 83%
Mvp Hmo/Ppo $85 96%
UnitedHealthcare $100 - $145 112%
Mvp Gold (McR) $100 - $145 112%
Medicare (plans) $100 - $217 112%
Hamaspik (McR) $100 - $145 112%
Affinity By Molina McR $105 - $152 118%
Cdphp $110 - $159 124%
Oxford Exchange $128 144%
Oxford $128 144%
Emblem Ghi/Hip Ppo/Cbp $141 - $204 159%
Mvp Exchange $148 - $214 166%
Emblem Select Care (Exchange) $154 - $224 173%
Magnacare Standard $159 - $230 179%
Todays Options $165 - $239 186%
Magnacare Preferred $182 - $263 205%
Emblem Ghi/Hip Hmo/Epo/Pos $182 - $263 205%
Multiplan $186 - $270 209%
First Health $204 - $296 229%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 42084 State Highway 28, Margaretville, NY 12455
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals