CMS Price Transparency Data

X-ray, chest (single view)

Facility: Blue Ridge Regional Hospital

Billing Code: 71045 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 71045
Insurance Median: $71
Cash Discount Price: $308
vs. Medicare Baseline: 0.80x Medicare

The contracted insurance negotiated median rate for a X-ray, chest (single view) at Blue Ridge Regional Hospital is $71. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $308. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 0.80x the Medicare baseline. Located in 125 Hospital Drive, Spruce Pine, NC.

Cash / Self-Pay

$308

Average discount available for prompt cash payment at this facility.

Insurance Median

$71

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: $308 (346%)

Insurance Median: $71 (80%)

Cash: $308 (346% of Medicare)

Ins. Median: $71 (80% 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
Amerihealth	$10 - $97	11%
Blue Cross Blue Shield	$10 - $93	11%
United	$10 - $263	11%
Wellcare	$10 - $96	11%
Partners Health Management	$11 - $98	12%
Vaya Health	$11 - $98	12%
Aetna	$12 - $402	13%
Apex Health	$12 - $111	13%
Cigna	$20 - $228	22%
Amerihealth Caritas	$22 - $206	25%
Caresource	$26 - $245	29%
Medcost	$28 - $288	31%
Magellan	$36 - $334	40%
Magellan Behavioral Health	$36 - $334	40%
Multiplan	$48 - $445	54%
Avalon Administrative Services	$51 - $473	57%
Prime Health	$53 - $501	60%

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 $308.
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 Blue Ridge Regional Hospital 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.