CMS Price Transparency Data

X-ray, chest (two views)

Facility: HCA Florida Poinciana Hospital

Billing Code: 71046 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 71046
Insurance Median: $793
Cash Discount Price: $2,787
vs. Medicare Baseline: 8.92x Medicare

The contracted insurance negotiated median rate for a X-ray, chest (two views) at HCA Florida Poinciana Hospital is $793. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,787. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 8.92x the Medicare baseline. Located in 325 Cypress Pkwy, Kissimmee, FL.

Cash / Self-Pay

$2,787

Average discount available for prompt cash payment at this facility.

Insurance Median

$793

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: $2,787 (3135%)

Insurance Median: $793 (892%)

Cash: $2,787 (3135% of Medicare)

Ins. Median: $793 (892% 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 892% of the Medicare baseline (a markup of 792%). 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
United	$182 - $1,303	205%
Freedom Health	$193 - $208	217%
Optimum	$193 - $208	217%
Avmed	$214 - $1,447	241%
Simply	$413 - $446	465%
Corvel Corporation	$440	495%
Prime Health	$450	506%
Careworks (Rockport Community)	$464	522%
Molina Healthcare	$509 - $782	572%
Evolutions	$616 - $666	693%
Sunshine State Health Plan	$683 - $738	768%
Humana	$750 - $810	844%
Aetna	$804 - $868	904%
Plotkin Health	$1,340 - $1,447	1507%
Prime Health Sheriff	$1,340 - $1,447	1507%
Multiplan	$2,010 - $2,460	2261%

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 $2,787.
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 Poinciana 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.