CMS Price Transparency Data

X-ray, chest (two views)

Facility: HCA Florida Osceola Hospital

Billing Code: 71046 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 71046
Insurance Median: $1,000
Cash Discount Price: $3,169
vs. Medicare Baseline: 11.25x Medicare

The contracted insurance negotiated median rate for a X-ray, chest (two views) at HCA Florida Osceola Hospital is $1,000. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,169. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 11.25x the Medicare baseline. Located in 700 West Oak Street, Kissimmee, FL.

Cash / Self-Pay

$3,169

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,000

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: $3,169 (3564%)

Insurance Median: $1,000 (1125%)

Cash: $3,169 (3564% of Medicare)

Ins. Median: $1,000 (1125% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 1125% of the Medicare baseline (a markup of 1025%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
United	$182 - $1,536	205%
Freedom Health	$211 - $246	237%
Optimum	$211 - $246	237%
Avmed	$234 - $1,706	263%
Corvel Corporation	$440	495%
Prime Health	$450	506%
Simply	$451 - $525	507%
Careworks (Rockport Community)	$464	522%
Molina Healthcare	$556 - $921	625%
Evolutions	$673 - $785	757%
Sunshine State Health Plan	$746 - $870	839%
Humana	$819 - $955	921%
Aetna	$878 - $1,024	988%
Plotkin Health	$1,463 - $1,706	1645%
Prime Health Sheriff	$1,463 - $1,706	1645%
Multiplan	$2,194 - $2,900	2468%
Evernorth	$2,340 - $2,730	2632%
Ppo Next	$2,487 - $2,900	2797%
Novanet	$2,633 - $3,071	2961%
Beacon Health Options	$2,925 - $3,412	3290%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $3,169.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 71046.

Insurance In-Network Protection Plan

Contact your insurance company to confirm HCA Florida Osceola Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 71046.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.