CMS Price Transparency Data

X-ray, chest (two views)

Facility: HCA Florida South Shore Hospital

Billing Code: 71046 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 71046
Insurance Median: $469
Cash Discount Price: $2,082
vs. Medicare Baseline: 5.27x Medicare

The contracted insurance negotiated median rate for a X-ray, chest (two views) at HCA Florida South Shore Hospital is $469. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,082. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 5.27x the Medicare baseline. Located in 4016 Sun City Center Blvd, Sun City Center, FL.

Cash / Self-Pay

$2,082

Average discount available for prompt cash payment at this facility.

Insurance Median

$469

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: $2,082 (2342%)

Insurance Median: $469 (527%)

Cash: $2,082 (2342% of Medicare)

Ins. Median: $469 (527% 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 527% of the Medicare baseline (a markup of 427%). 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	$98	110%
Access 2 Healthcare Physicians Freedom Health	$150	169%
Access 2 Healthcare Physicians Optimum	$150	169%
Freedom Health Care	$162	182%
Optimum Healthcare	$162	182%
Avmed	$167 - $521	188%
United	$182 - $937	205%
Simply Healthcare	$321	361%
Molina	$396 - $562	445%
Corvel Corporation	$446	502%
Rockport Healthcare Group	$446	502%
Prime Health	$456	513%
Evolutions Healthcare Systems	$479 - $1,916	539%
Sunshine State Health Plan	$531	597%
Humana	$583	656%
Aetna	$625	703%
Plotkin Health	$1,041	1171%
Prime Health Sheriff	$1,041	1171%
Multiplan	$1,562 - $1,770	1757%

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 $2,082.
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 South Shore 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.