CMS Price Transparency Data

X-ray, chest (single view)

Facility: Caromont Regional Medical Center

Billing Code: 71045 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 71045
Insurance Median: $109
Cash Discount Price: $387
vs. Medicare Baseline: 1.23x Medicare

The contracted insurance negotiated median rate for a X-ray, chest (single view) at Caromont Regional Medical Center is $109. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $387. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.23x the Medicare baseline. Located in 2525 Court Dr, Gastonia, NC.

Cash / Self-Pay

$387

Average discount available for prompt cash payment at this facility.

Insurance Median

$109

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: $387 (435%)

Insurance Median: $109 (123%)

Cash: $387 (435% of Medicare)

Ins. Median: $109 (123% 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
Blue Cross Blue Shield	$58 - $128	65%
Carolina Complete Health	$58	65%
Partners Behavioral Health	$58	65%
Alliance Behavioral Health	$59	66%
Amerihealth Caritas	$59	66%
Carolina Complete Health Tailored Plans	$59	66%
UnitedHealthcare	$59 - $128	66%
Vaya Behavioral Health	$59	66%
Wellcare	$59	66%
Cigna	$83 - $165	93%
Aetna	$92 - $125	103%
Devoted Health	$93	105%
Healthteam	$93	105%
Longevity Health	$93	105%
Molina	$93 - $109	105%
Humana	$95 - $341	107%
Absolute Total Care	$109	123%
Gaston County Jail	$116	130%
Surgery Plus	$156	175%
Carolina Caring	$222 - $306	250%
Corporate Benefits Service	$239	269%
Medcost	$263	296%
Beech Street	$317	357%
Multiplan	$317	357%
Self Pay	$348	391%
First Health Network	$368	414%

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 $387.
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 Caromont 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.