CMS Price Transparency Data

X-ray, chest (two views)

Facility: HCA Florida Northside Hospital

Billing Code: 71046 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 71046
Insurance Median: $300
Cash Discount Price: $2,569
vs. Medicare Baseline: 3.37x Medicare

The contracted insurance negotiated median rate for a X-ray, chest (two views) at HCA Florida Northside Hospital is $300. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,569. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 3.37x the Medicare baseline. Located in 6000 49Th St N, Saint Petersburg, FL.

Cash / Self-Pay

$2,569

Average discount available for prompt cash payment at this facility.

Insurance Median

$300

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: $2,569 (2889%)

Insurance Median: $300 (337%)

Cash: $2,569 (2889% of Medicare)

Ins. Median: $300 (337% 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 337% of the Medicare baseline (a markup of 237%). 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
Access 2 Healthcare Physicians Freedom Optimum Group Members	$4 - $237	4%
Access 2 Healthcare Physicians Freedom Health	$7 - $363	8%
Access 2 Healthcare Physicians Optimum	$7 - $363	8%
Freedom Health Care	$7 - $393	8%
Optimum Healthcare	$7 - $393	8%
Avmed	$8 - $1,261	9%
Simply Healthcare	$15 - $777	17%
United	$16 - $2,269	18%
Molina	$18 - $1,362	20%
Evolutions Healthcare Systems	$22 - $4,639	25%
Sunshine State Health Plan	$24 - $1,286	27%
Humana	$27 - $1,412	30%
Aetna	$28 - $1,513	31%
Plotkin Health	$48 - $2,521	54%
Prime Health Sheriff	$48 - $2,521	54%
Multiplan	$71 - $4,286	80%
Corvel Corporation	$446	502%
Rockport Healthcare Group	$446	502%
Prime Health	$456	513%

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 $2,569.
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 Northside 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.