CMS Price Transparency Data

X-ray, chest (two views)

Facility: Novant Health Ballantyne Medical Center

Billing Code: 71046 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 71046
  • Insurance Median: $288
  • Cash Discount Price: $233
  • vs. Medicare Baseline: 3.24x Medicare
The contracted insurance negotiated median rate for a X-ray, chest (two views) at Novant Health Ballantyne Medical Center is $288. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $233. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 3.24x the Medicare baseline. Located in 10905 Providence Road W, Charlotte, NC.
Cash / Self-Pay
$233

Average discount available for prompt cash payment at this facility.

Insurance Median
$288

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: $233 (262%)
Insurance Median: $288 (324%)
Cash: $233 (262% of Medicare)
Ins. Median: $288 (324% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 324% of the Medicare baseline (a markup of 224%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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
Blue Cross Blue Shield $85 - $335 96%
Humana $85 - $335 96%
Pace Of The Southern Piedmont $85 96%
UnitedHealthcare $85 - $272 96%
Aetna $87 - $372 98%
Cigna $87 - $239 98%
Liberty Health $89 100%
Carolina Complete $95 107%
Nc Department Of Public Safety $95 - $169 107%
Amerihealth $97 109%
Wellcare $97 109%
Caresource North Carolina $153 172%
Atlantic Corporation Dba Atlantic Packaging $214 241%
Amps $256 288%
Plotkin Health $279 314%
Medcost $330 - $349 371%
Primary Physician Care $344 387%
Multiplan $349 393%
Phcs $349 393%
Employers Choice Network $451 507%
Three Rivers Provider Network $451 507%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 10905 Providence Road W, Charlotte, NC 28277
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals