CMS Price Transparency Data

X-ray, chest (single view)

Facility: Marion Communtiy Hospital

Billing Code: 71045 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 71045
Insurance Median: $371
Cash Discount Price: $1,464
vs. Medicare Baseline: 4.17x Medicare

The contracted insurance negotiated median rate for a X-ray, chest (single view) at Marion Communtiy Hospital is $371. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,464. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 4.17x the Medicare baseline. Located in 1431 Sw 1St Ave, Ocala, FL.

Cash / Self-Pay

$1,464

Average discount available for prompt cash payment at this facility.

Insurance Median

$371

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: $1,464 (1647%)

Insurance Median: $371 (417%)

Cash: $1,464 (1647% of Medicare)

Ins. Median: $371 (417% 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 417% of the Medicare baseline (a markup of 317%). 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
Avmed	$169 - $426	190%
United	$182 - $684	205%
Simply	$217 - $234	244%
Molina Healthcare	$268 - $487	301%
Humana	$282 - $304	317%
Evolutions	$324 - $350	364%
Evolutions Healthcare	$324 - $350	364%
Corvel Corporation	$353	397%
Sunshine State Health Plan	$359 - $388	404%
Prime Health	$360	405%
Careworks (Rockport Community)	$371	417%
Marion County Schools	$371	417%
Aetna	$422 - $456	475%
Plotkin Health	$704 - $760	792%
Prime Health Sheriff	$704 - $760	792%
Multiplan	$1,098 - $1,186	1235%
Ppo Next	$1,197 - $1,293	1346%
Novanet	$1,267 - $1,369	1425%

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 $1,464.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 71045.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Marion Communtiy Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 71045.
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.