CMS Price Transparency Data

X-ray, chest (single view)

Facility: Atrium Health Navicent the Medical Center

Billing Code: 71045 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 71045
Insurance Median: $28
Cash Discount Price: $245
vs. Medicare Baseline: 0.31x Medicare

The contracted insurance negotiated median rate for a X-ray, chest (single view) at Atrium Health Navicent the Medical Center is $28. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $245. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 0.31x the Medicare baseline. Located in 777 Hemlock Street, Macon, GA.

Cash / Self-Pay

$245

Average discount available for prompt cash payment at this facility.

Insurance Median

$28

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: $245 (276%)

Insurance Median: $28 (31%)

Cash: $245 (276% of Medicare)

Ins. Median: $28 (31% 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.

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
Aetna	$8 - $337	9%
Blue Cross Blue Shield	$8 - $86	9%
Care Source	$8 - $88	9%
Clover	$8 - $88	9%
Eon Health	$8 - $88	9%
Georgia Health Advantage	$8 - $86	9%
Humana	$8 - $336	9%
UnitedHealthcare	$8 - $712	9%
Pruitt Health	$9 - $86	10%
Alliant	$10 - $103	11%
Ambetter / Centene	$11 - $249	12%
Kaiser	$24 - $318	27%
Securehealth	$171	192%
Multiplan	$318 - $391	358%
Cigna	$322	362%
Ibg	$346	389%
Novanet	$391	440%
Three Rivers Provider Network	$416	468%
Beechstreet	$455	512%

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 $245.
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 Atrium Health Navicent the Medical Center 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.