X-ray, chest (single view)
Facility: Rehabilitation Hospital Of Overland Park
Billing Code: 71045 (CPT)
- CPT Billing Code: 71045
- Insurance Median: $222
- Cash Discount Price: $296
- vs. Medicare Baseline: 2.50x 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 250% of the Medicare baseline (a markup of 150%). 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 |
|---|---|---|
| Blue Cross Blue Shield | $178 | 200% |
| Americas Choice Provider Network | $208 | 234% |
| Usa Managed Care Organization | $222 | 250% |
| Velocity | $222 | 250% |
| Provider Network Of America | $222 | 250% |
| Quiktrip Corporation | $222 | 250% |
| Multiplan-Phcs | $237 | 267% |
| Prime Health Services | $252 | 283% |
| Medincrease | $267 | 300% |
Consumer Guidance & Cost Commentary
For the CPT code 71045, representing a chest X-ray, the Rehabilitation Hospital Of Overland Park lists a cash price of $296.00. This cash rate is significantly higher than the Medicare benchmark of $88.91, which serves as the federal baseline for the true cost of this service. While the facility's negotiated rates for in-network insurance plans range from $178 to $267, these amounts are still above the Medicare amount, illustrating that commercial contracts often include administrative overhead that inflates the baseline price. Patients with high-deductible plans may find it beneficial to pay the cash price directly, as the $296.00 rate is competitive against the higher negotiated rates some insurers charge, potentially saving money if their deductible has not yet been met.
It is important to note that the facility's negotiated rates vary by payer, with the lowest contract rate being $178 and the highest at $267, reflecting different contract dynamics and network tiers. Before scheduling, patients should verify their specific plan's allowed amount, as assuming that being in-network guarantees the lowest possible price can be misleading; some in-network facilities charge substantially more than others for the same service. Additionally, patients should proactively ask the hospital about "self-pay" or "prompt-pay" discounts, which can reduce the final bill by 20% to 50% if paid upfront, bypassing the costly insurance claims processing cycle. If you receive a bill, always request a detailed, itemized statement to ensure no errors exist before making a payment decision.