CPT 71045 Radiology

How Much Does Chest X-ray (1 View) Cost?

Also known as: X-ray exam chest 1 view (CPT 71045)

A standard chest X-ray taken from the front (one view), showing your lungs, heart, and ribcage.

Chest X-ray (1 View) (CPT 71045) costs $25 at Medicare rates.

The rates shown below represent the complete Medicare reimbursement for this service. No separate facility fee applies for this type of procedure.

Medicare (Facility)
$25
CMS PFS 2026 national rate

Patient Guide: Chest X-ray (1 View)

What you need to know before your appointment

What to Expect

You will stand in front of the X-ray machine, take a deep breath, and hold it for a few seconds while the image is captured. It is quick and painless.

How Long Does It Take?

5-10 minutes

Common Reasons Doctors Order This

Cough, shortness of breath, chest pain, pneumonia check, pre-surgical clearance, follow-up on lung condition

How to Prepare

Remove jewelry and metal from your chest area. You may be asked to change into a gown. Inform staff if you are pregnant.

Procedures Commonly Done Together

These procedures are frequently performed alongside X-ray exam chest 1 view

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What Insurance Companies Actually Pay

Real negotiated rates from 15 hospitals across 6 states (from hospital price transparency filings)

Lowest
$12
Highest
$1,664
Average
$316
Insurance Company Avg Rate Range Hospitals
United $221 $27 - $832 10
Cigna $271 $32 - $912 9
Aetna $327 $79 - $849 6
Humana $212 $32 - $811 8
KAISER FOUNDATION HEALTH PLAN, INC. $204 $118 - $370 5
BCBS $219 $27 - $647 5
BCBS-TX $189 $113 - $269 2
Multiplan $677 $146 - $1,664 4
Anthem $177 $21 - $1,054 2
Wellpoint $268 $26 - $1,113 2
CHC $322 $22 - $686 2
Community Health Choice MCD $26 $26 2
Average by State
TN: $112 (20) GA: $166 (27) KY: $168 (21) CA: $204 (15) TX: $343 (218) CO: $449 (53)
Disclaimer: These rates are from hospital Machine-Readable Files (MRFs) required by federal price transparency law. They reflect specific hospital-payer contracts and may not represent your actual cost, which depends on your plan, deductible, and network status. Data sourced from CommonSpirit Health, HCA Healthcare, and Kaiser Permanente filings.

How to Reduce Your Cost for X-ray exam chest 1 view

Practical tips that can save you hundreds or thousands of dollars

  • 1
    Ask about cash-pay discounts

    Many hospitals and clinics offer 20-40% discounts for self-pay patients. Always ask before scheduling.

  • 2
    Compare facility vs. office setting costs

    Some procedures cost significantly less in an office setting than a hospital. Ask your provider about options.

  • 3
    Shop around — costs vary significantly

    Costs can vary 2-3x between providers in the same city. Get quotes from multiple facilities.

How is the Price Calculated?

Medicare calculates procedure payments using Relative Value Units (RVUs). Each procedure has three components multiplied by a conversion factor ($33.40 in 2026) and adjusted by geographic cost indices.

0.18
Work RVU
0.56
Practice Expense RVU
0.02
Malpractice RVU
0.76
Total RVU

Payment = Total RVU (0.76) x CF ($33.40) = $25

Frequently Asked Questions

How much does X-ray exam chest 1 view cost?

The Medicare facility rate for X-ray exam chest 1 view is $25. Commercial insurance rates typically range from 150% to 250% of Medicare (varies by plan).

How much does X-ray exam chest 1 view cost without insurance?

Without insurance, the cost of X-ray exam chest 1 view can range from 150% of Medicare to 500% of Medicare depending on the facility. Many hospitals and clinics offer self-pay discounts of 20-40% off their chargemaster price. Always ask about cash pricing before your visit.

Does insurance cover X-ray exam chest 1 view?

Most commercial health insurance plans and Medicare cover X-ray exam chest 1 view when ordered by a physician for a medically necessary reason. Your out-of-pocket cost depends on your plan's deductible, copay/coinsurance structure, and whether you use an in-network provider. Check with your insurance company before scheduling to confirm coverage and get a cost estimate.

Why does the cost vary so much by location?

Medicare adjusts payments using Geographic Practice Cost Indices (GPCIs) that reflect local differences in physician work costs, practice expenses, and malpractice insurance. Manhattan, San Francisco, and other high-cost areas pay significantly more than rural regions. Commercial insurers follow similar geographic patterns.

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