CMS Price Transparency Data

X-ray, chest (single view)

Facility: Lexington Memorial Hospital Inc

Billing Code: 71045 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 71045
  • Insurance Median: $159
  • Cash Discount Price: $180
  • vs. Medicare Baseline: 1.79x Medicare
The contracted insurance negotiated median rate for a X-ray, chest (single view) at Lexington Memorial Hospital Inc is $159. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $180. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.79x the Medicare baseline. Located in 250 Hospital Drive Po Box 1817, Lexington, NC.
Cash / Self-Pay
$180

Average discount available for prompt cash payment at this facility.

Insurance Median
$159

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: $180 (202%)
Insurance Median: $159 (179%)
Cash: $180 (202% of Medicare)
Ins. Median: $159 (179% 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.

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
Amerihealth $68 - $99 76%
Carolina Complete $68 76%
Healthy Blue $68 76%
Partners $68 76%
UnitedHealthcare $68 - $161 76%
Vaya $68 76%
Wellcare $68 76%
Alliance $69 78%
Trillium $70 79%
Medcost $79 - $240 89%
Blue Cross Blue Shield $97 - $156 109%
Aetna $102 - $332 115%
Ambetter / Centene $103 116%
Oscar $115 - $158 129%
Cigna $156 - $159 175%
Directnet $212 238%
Healthgram Lexington Home Brands $258 290%
Healthgram $287 323%
Private Healthcare Systems $294 331%
Beechstreet $316 355%
Humana $316 355%
Multiplan $323 363%
National Provider Network $323 363%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 250 Hospital Drive Po Box 1817, Lexington, NC 27293
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals