CMS Price Transparency Data

X-ray, chest (two views)

Facility: Atrium Health Cleveland

Billing Code: 71046 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 71046
Insurance Median: $78
Cash Discount Price: $232
vs. Medicare Baseline: 0.88x Medicare

The contracted insurance negotiated median rate for a X-ray, chest (two views) at Atrium Health Cleveland is $78. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $232. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 0.88x the Medicare baseline. Located in 201 E Grover St, Shelby, NC.

Cash / Self-Pay

$232

Average discount available for prompt cash payment at this facility.

Insurance Median

$78

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: $232 (261%)

Insurance Median: $78 (88%)

Cash: $232 (261% of Medicare)

Ins. Median: $78 (88% 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
Alliance	$9 - $78	10%
Amerihealth Caritas	$9 - $66	10%
Carolina Complete Health	$9 - $67	10%
Healthy Blue	$9 - $67	10%
Partners	$9 - $65	10%
Trillium	$9 - $69	10%
UnitedHealthcare	$9 - $248	10%
Vaya	$9 - $67	10%
Wellcare	$9 - $67	10%
Aetna	$10 - $358	11%
Cigna	$10 - $372	11%
Humana	$10 - $84	11%
Blue Cross Blue Shield	$29 - $190	33%
Choicecare	$40 - $381	45%
Medcost	$50 - $308	56%
Ambetter / Centene	$148 - $169	166%
Employers Health Network	$205	231%
Physician Reach Out	$232	261%
Magellan	$279	314%
Gmmi	$302	340%
Quik Trip	$302	340%
Carolina Behavioral Health	$335 - $372	377%
Healthgram	$372	418%
First Health	$395	444%
Lifesynch Community Choice Care	$395	444%
Private Health Care Systems	$418	470%
Beechstreet	$427	480%
Multiplan	$441	496%

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 $232.
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 Atrium Health Cleveland 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.