CMS Price Transparency Data

X-ray, chest (two views)

Facility: PAM Specialty Hospital of Sarasota

Billing Code: 71046 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 71046
  • Insurance Median: $73
  • Cash Discount Price: $97
  • vs. Medicare Baseline: 0.82x Medicare
The contracted insurance negotiated median rate for a X-ray, chest (two views) at PAM Specialty Hospital of Sarasota is $73. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $97. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 0.82x the Medicare baseline. Located in 6150 Edgelake Drive, Sarasota, FL.
Cash / Self-Pay
$97

Average discount available for prompt cash payment at this facility.

Insurance Median
$73

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: $97 (109%)
Insurance Median: $73 (82%)
Cash: $97 (109% of Medicare)
Ins. Median: $73 (82% 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.

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
America'S Choice $68 76%
Provider Network Of America $73 82%
Quik Trip $73 82%
Usa Managed Care Organization $73 82%
Velocity Provider Ppo Network $73 82%
Evolutions Healthcare System $78 88%
Multiplan/Phcs $78 88%
Fortified Provider Network $83 93%
Prime Health Services $83 93%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 6150 Edgelake Drive, Sarasota, FL 34240
  • CMS Rating: No CMS Rating
  • Ownership Type: N/A
  • Hospital Type: PART A PROVIDER - HOSPITAL