CMS Price Transparency Data

X-ray, chest (single view)

Facility: Memorial Mission Hospital and Asheville Surgery Ce

Billing Code: 71045 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 71045
  • Insurance Median: $277
  • Cash Discount Price: $557
  • vs. Medicare Baseline: 3.12x Medicare
The contracted insurance negotiated median rate for a X-ray, chest (single view) at Memorial Mission Hospital and Asheville Surgery Ce is $277. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $557. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 3.12x the Medicare baseline. Located in 509 Biltmore Ave, Asheville, NC.
Cash / Self-Pay
$557

Average discount available for prompt cash payment at this facility.

Insurance Median
$277

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: $557 (626%)
Insurance Median: $277 (312%)
Cash: $557 (626% of Medicare)
Ins. Median: $277 (312% 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 312% of the Medicare baseline (a markup of 212%). 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
Blue Cross Blue Shield $102 115%
United $104 - $329 117%
Wellcare $105 118%
Amerihealth $106 119%
Partners Health Management $107 120%
Vaya Health $107 120%
Apex Health $111 125%
Cigna $206 - $277 232%
Caresource $245 276%
Medcost $314 - $473 353%
Magellan $334 376%
Magellan Behavioral Health $334 376%
Aetna $402 452%
Multiplan $445 501%
Avalon Administrative Services $473 532%
Prime Health $490 - $501 551%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 509 Biltmore Ave, Asheville, NC 28801
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals