X-ray, chest (single view)
Facility: Physicians Care Surgical Hospital
Billing Code: 71045 (CPT)
- CPT Billing Code: 71045
- Insurance Median: $338
- Cash Discount Price: $271
- vs. Medicare Baseline: 3.80x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. 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 380% of the Medicare baseline (a markup of 280%). 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.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Connecticare | $69 | 78% |
| Highmark | $160 | 180% |
| Blue Cross Blue Shield | $160 - $365 | 180% |
| Aetna | $163 - $379 | 183% |
| Continental Benefits | $163 | 183% |
| Ag Administrators Inc | $163 | 183% |
| Premier Care Network | $163 | 183% |
| Trustmark | $163 | 183% |
| Healthez | $163 | 183% |
| Ag Administrators | $163 | 183% |
| Geha | $163 | 183% |
| Allied Benefits Systems | $163 | 183% |
| Marpai Health | $163 | 183% |
| Allied Benefit Systems | $163 | 183% |
| Meritain Health | $163 | 183% |
| Coventry | $163 | 183% |
| Lucent Health | $163 | 183% |
| UnitedHealthcare | $338 - $718 | 380% |
| Personal Choice 65 | $338 | 380% |
| Shenandoah Life | $338 | 380% |
| Gpm Health and Life Insurance Mc Supplement | $338 | 380% |
| Ibc Security 65 | $338 | 380% |
| Unified Health Services | $338 | 380% |
| Aarp | $338 | 380% |
| Medicare (plans) | $338 | 380% |
| Humana | $338 | 380% |
| Vibra Health Plan | $338 | 380% |
| Devon Health Services | $338 | 380% |
| Keystone 65 HMO | $338 | 380% |
| Tricare | $338 | 380% |
| Cigna | $338 | 380% |
| Pcsh Aarp | $338 | 380% |
| Keystone Direct POS | $365 | 411% |
| Ibc | $365 | 411% |
| Independence Bc | $365 | 411% |
| Independence Federal | $365 | 411% |
| Independence Administrators | $365 | 411% |
| Ibc Local | $365 | 411% |
| Empire Plan | $365 | 411% |
| Horizon of New Jersey | $365 | 411% |
| Pcsh Ibc | $365 | 411% |
| Ibc - Local | $365 | 411% |
| Personal Choice | $365 | 411% |
| Keystone Healthplan East | $365 | 411% |
| Carefirst Administrators | $365 | 411% |
| Amerihealth New Jersey HMO | $365 | 411% |
| Amerihealth Administrators | $365 | 411% |
| Keystone HMO | $365 | 411% |
| Regence Blue Shield | $365 | 411% |
| Ibc 2021 | $365 | 411% |
| Golden Rule Op | $718 | 808% |
| Allsavers | $718 | 808% |
| Surest | $718 | 808% |
| Oxford Health Plan | $718 | 808% |
| Oxford Life Insurance Company | $718 | 808% |