CMS Price Transparency Data

X-ray, chest (two views)

Facility: Atrium Health Pineville

Billing Code: 71046 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 71046
Insurance Median: $67
Cash Discount Price: $232
vs. Medicare Baseline: 0.75x Medicare

The contracted insurance negotiated median rate for a X-ray, chest (two views) at Atrium Health Pineville is $67. 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 0.75x the Medicare baseline. Located in 10628 Park Rd, Charlotte, NC.

Cash / Self-Pay

$232

Average discount available for prompt cash payment at this facility.

Insurance Median

$67

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: $67 (75%)

Cash: $232 (261% of Medicare)

Ins. Median: $67 (75% 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 - $49	10%
Amerihealth Caritas	$9 - $47	10%
Carolina Complete Health	$9 - $48	10%
Healthy Blue	$9 - $48	10%
Partners	$9 - $46	10%
Trillium	$9 - $49	10%
UnitedHealthcare	$9 - $219	10%
Vaya	$9 - $48	10%
Wellcare	$9 - $48	10%
Aetna	$10 - $386	11%
Cigna	$10 - $314	11%
Humana	$10 - $85	11%
Ortho Carolina	$12 - $105	13%
Blue Cross Blue Shield	$29 - $181	33%
Choicecare	$40 - $344	45%
Medcost	$50 - $278	56%
Ambetter / Centene	$135 - $169	152%
Employers Health Network	$205	231%
Physician Reach Out	$232	261%
Magellan	$279	314%
Gmmi	$302	340%
Quik Trip	$302	340%
Healthgram	$372	418%
Provider Select	$376 - $418	423%
Private Health Care Systems	$381	429%
First Health	$386	434%
Beechstreet	$418	470%
Multiplan	$427	480%

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 Pineville 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.