CMS Price Transparency Data

X-ray, chest (single view)

Facility: Palm Bay Hospital

Billing Code: 71045 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 71045
  • Insurance Median: $259
  • Cash Discount Price: $108
  • vs. Medicare Baseline: 2.91x Medicare
The contracted insurance negotiated median rate for a X-ray, chest (single view) at Palm Bay Hospital is $259. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $108. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 2.91x the Medicare baseline. Located in 1425 Malabar Rd, Ne, Palm Bay, FL.
Cash / Self-Pay
$108

Average discount available for prompt cash payment at this facility.

Insurance Median
$259

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: $108 (121%)
Insurance Median: $259 (291%)
Cash: $108 (121% of Medicare)
Ins. Median: $259 (291% 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 291% of the Medicare baseline (a markup of 191%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash 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
Health First Health Plan $23 - $128 26%
Aetna $30 - $474 34%
Humana $36 - $431 40%
Molina Healthcare $36 - $483 40%
Amerigroup $37 - $431 42%
Sunshine Health Plan $37 - $453 42%
UnitedHealthcare $37 - $619 42%
Corizon Health $91 102%
Florida Healthcare Plans $136 153%
Cigna $166 - $178 187%
Disney Cruise Line $259 291%
Prime Heath Services, Inc. $323 363%
Multiplan $345 388%
Florida Blue $629 - $652 707%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1425 Malabar Rd, Ne, Palm Bay, FL 32907
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals