CMS Price Transparency Data

X-ray, chest (single view)

Facility: HCA Florida South Shore Hospital

Billing Code: 71045 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 71045
Insurance Median: $466
Cash Discount Price: $2,069
vs. Medicare Baseline: 5.24x Medicare

The contracted insurance negotiated median rate for a X-ray, chest (single view) at HCA Florida South Shore Hospital is $466. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,069. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 5.24x the Medicare baseline. Located in 4016 Sun City Center Blvd, Sun City Center, FL.

Cash / Self-Pay

$2,069

Average discount available for prompt cash payment at this facility.

Insurance Median

$466

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: $2,069 (2327%)

Insurance Median: $466 (524%)

Cash: $2,069 (2327% of Medicare)

Ins. Median: $466 (524% 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 524% of the Medicare baseline (a markup of 424%). 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	$97	109%
Access 2 Healthcare Physicians Freedom Health	$149	168%
Access 2 Healthcare Physicians Optimum	$149	168%
Freedom Health Care	$161	181%
Optimum Healthcare	$161	181%
Avmed	$166 - $517	187%
United	$182 - $931	205%
Simply Healthcare	$319	359%
Corvel Corporation	$375	422%
Rockport Healthcare Group	$375	422%
Prime Health	$383	431%
Molina	$393 - $559	442%
Evolutions Healthcare Systems	$476 - $1,904	535%
Sunshine State Health Plan	$528	594%
Humana	$579	651%
Aetna	$621	698%
Plotkin Health	$1,035	1164%
Prime Health Sheriff	$1,035	1164%
Multiplan	$1,552 - $1,759	1746%

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 $2,069.
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 HCA Florida South Shore 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.