CMS Price Transparency Data

X-ray, chest (two views)

Facility: South Miami Hospital

Billing Code: 71046 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 71046
Insurance Median: $284
Cash Discount Price: $403
vs. Medicare Baseline: 3.19x Medicare

The contracted insurance negotiated median rate for a X-ray, chest (two views) at South Miami Hospital is $284. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $403. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 3.19x the Medicare baseline. Located in 6200 Sw 73Rd St, Miami, FL.

Cash / Self-Pay

$403

Average discount available for prompt cash payment at this facility.

Insurance Median

$284

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: $403 (453%)

Insurance Median: $284 (319%)

Cash: $403 (453% of Medicare)

Ins. Median: $284 (319% 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 319% of the Medicare baseline (a markup of 219%). 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
Amerigroup	$34	38%
Medicaid / KanCare	$34 - $38	38%
Sunshine State	$36	40%
UnitedHealthcare	$36 - $765	40%
Wellcare	$36	40%
Aetna	$37 - $612	42%
Vista	$37	42%
Blue Cross Blue Shield	$82 - $496	92%
Medicare (plans)	$91 - $123	102%
Medica Health Plan	$97	109%
Humana	$99	111%
Avmed	$100 - $379	112%
Leon Medical	$100	112%
Cigna	$104 - $612	117%
Non Contracted	$174 - $281	196%
Amerihealth	$213 - $344	240%
International	$308 - $497	346%
Dimension Health Plan	$356 - $688	400%
Affordable	$403 - $650	453%
Phcs	$427 - $688	480%
Quality Health	$427 - $688	480%

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 $403.
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 South Miami 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.