CMS Price Transparency Data

X-ray, chest (single view)

Facility: Vidant Chowan Hospital

Billing Code: 71045 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 71045
  • Insurance Median: $262
  • Cash Discount Price: $232
  • vs. Medicare Baseline: 2.95x Medicare
The contracted insurance negotiated median rate for a X-ray, chest (single view) at Vidant Chowan Hospital is $262. 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 2.95x the Medicare baseline. Located in 211 Virginia Rd, Edenton, NC.
Cash / Self-Pay
$232

Average discount available for prompt cash payment at this facility.

Insurance Median
$262

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: $262 (295%)
Cash: $232 (261% of Medicare)
Ins. Median: $262 (295% 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 295% of the Medicare baseline (a markup of 195%). 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 $124 - $251 139%
Carolina Complete Health [1317] $126 142%
Wellcare [1320] $126 142%
Amerihealth McAid Adv [1316] $127 143%
Humana $128 144%
UnitedHealthcare $140 - $255 157%
Liberty Advantage [1313] $144 162%
Aetna $148 - $339 166%
Longevity Health [1411] $178 200%
Nc Dept of Public Safety [1095] $232 261%
Medcost [1067] $262 - $276 295%
Cigna $352 - $393 396%
Multiplan [1031] $393 442%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 211 Virginia Rd, Edenton, NC 27932
  • CMS Rating: ★★★☆☆
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals