CMS Price Transparency Data

X-ray, chest (single view)

Facility: Novant Health Forsyth Medical Center

Billing Code: 71045 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 71045
Insurance Median: $204
Cash Discount Price: $173
vs. Medicare Baseline: 2.29x Medicare

The contracted insurance negotiated median rate for a X-ray, chest (single view) at Novant Health Forsyth Medical Center is $204. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $173. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 2.29x the Medicare baseline. Located in 3333 Silas Creek Parkway, Winston-Salem, NC.

Cash / Self-Pay

$173

Average discount available for prompt cash payment at this facility.

Insurance Median

$204

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: $173 (195%)

Insurance Median: $204 (229%)

Cash: $173 (195% of Medicare)

Ins. Median: $204 (229% 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 229% of the Medicare baseline (a markup of 129%). 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
Carolina Complete	$53 - $67	60%
Nc Department Of Public Safety	$53 - $169	60%
Amerihealth	$54 - $68	61%
Blue Cross Blue Shield	$54 - $260	61%
UnitedHealthcare	$54 - $243	61%
Wellcare	$54 - $68	61%
Humana	$84 - $281	94%
Pace Of The Southern Piedmont	$84	94%
Aetna	$87 - $289	98%
Cigna	$87 - $214	98%
Liberty Health	$89	100%
Caresource North Carolina	$113 - $144	127%
Atlantic Corporation Dba Atlantic Packaging	$160 - $204	180%
Plotkin Health	$170 - $217	191%
Amps	$184 - $235	207%
Medcost	$241 - $339	271%
Primary Physician Care	$249 - $318	280%
Beechstreet	$255 - $325	287%
Multiplan	$255 - $325	287%
Phcs	$255 - $325	287%
Employers Choice Network	$275 - $350	309%
Three Rivers Provider Network	$275 - $350	309%

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 $173.
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 Novant Health Forsyth 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.