CMS Price Transparency Data

X-ray, chest (single view)

Facility: Sampson Regional Medical Center

Billing Code: 71045 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 71045
Insurance Median: $92
Cash Discount Price: $213
vs. Medicare Baseline: 1.03x Medicare

The contracted insurance negotiated median rate for a X-ray, chest (single view) at Sampson Regional Medical Center is $92. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $213. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.03x the Medicare baseline. Located in 607 Beaman St, Clinton, NC.

Cash / Self-Pay

$213

Average discount available for prompt cash payment at this facility.

Insurance Median

$92

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: $213 (240%)

Insurance Median: $92 (103%)

Cash: $213 (240% of Medicare)

Ins. Median: $92 (103% 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
Healthy Blue Mcaid - All Plans	$60	67%
Wellcare Mcaid - All Plans	$60	67%
UnitedHealthcare	$61 - $220	69%
Blue Cross Blue Shield	$83 - $189	93%
Liberty Adv - All Plans	$85	96%
Aetna	$87 - $274	98%
Gateway Mcr Adv - All Plans	$87	98%
Medicare (plans)	$92	103%
Prime/Travelers/Three Rivers - All Plans	$92	103%
Medcost - All Plans	$235	264%
Cigna	$274	308%
Multiplan - All Plans	$280	315%
Bc Nc Indemnity Ip/Op Only	$304	342%

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 $213.
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 Sampson Regional 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.