CMS Price Transparency Data

X-ray, chest (two views)

Facility: Prisma Health Richland Hospital

Billing Code: 71046 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 71046
  • Insurance Median: $88
  • Cash Discount Price: $314
  • vs. Medicare Baseline: 0.99x Medicare
The contracted insurance negotiated median rate for a X-ray, chest (two views) at Prisma Health Richland Hospital is $88. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $314. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 0.99x the Medicare baseline. Located in 5 Medical Park, Columbia, SC.
Cash / Self-Pay
$314

Average discount available for prompt cash payment at this facility.

Insurance Median
$88

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: $314 (353%)
Insurance Median: $88 (99%)
Cash: $314 (353% of Medicare)
Ins. Median: $88 (99% 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
Humana $23 - $362 26%
Medicaid / KanCare $24 - $74 27%
Aetna $33 - $382 37%
Blue Cross Blue Shield $33 - $282 37%
Cigna $33 - $443 37%
Covid19 Hrsa Uninsured Testing & Treatment Fund [904] $33 - $83 37%
Healthy Conn Prime-First Choice Vip Care [5300] $33 - $88 37%
Healthy Conn Prime-Molina Healthcare [5330] $33 - $88 37%
Healthy Conn Prime-Wellcare Prime By Atc [5310] $33 - $88 37%
Medicare (plans) $33 - $88 37%
Triwest Healthcare Alliance Vcp [902] $33 - $83 37%
UnitedHealthcare $33 - $556 37%
Va Community Care Network-Vaccn [903] $33 - $83 37%
Workers Comp [600] $33 - $117 37%
Ambetter / Centene $61 - $154 69%
Tricare $83 93%
Sc Dept Of Corrections [2998] $110 124%
Scdc-Sc Dept Of Corrections [7232] $110 124%
Prisma Health Seniorcare Pace - Midlands [5400] $112 126%
Prisma Health Seniorcare Pace-Upstate [5200] $112 126%
Bob Jones Univ-Pai [821] $117 132%
Bluechoice [810] $163 - $240 183%
Promise Health Plan Contracted [2401] $169 - $290 190%
Orangeburg Senior Helping Center Pace [5401] $193 217%
Planned Administrators [820] $282 317%
Meritain Health Contracted [2200] $309 - $382 348%
Preferred Administrators Contracted [2839] $338 380%
Medcost [2940] $357 - $401 402%
Atlantic Packaging Contracted [4833] $362 407%
Nippon [2300] $382 430%
Aps Healthcare System [2981] $386 434%
Multiplan/Phcs Contracted [2950] $430 484%
Vsp Vision Care [2986] $435 489%
Evernorth Behavioral Contracted [2982] $443 498%
First Health Contracted [2952] $449 505%
Furman Int/Allen University Student [2951] $449 505%
Quiktrip-First Health [3067] $449 505%
Golden Rule Insurance Company [2991] $556 625%
Oxford Health Plans [2992] $556 625%
Zzumr-Salt Lake City Ut [3169] $556 625%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 5 Medical Park, Columbia, SC 29203
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals