CMS Price Transparency Data

X-ray, chest (single view)

Facility: Prisma Health Hillcrest Hospital

Billing Code: 71045 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 71045
  • Insurance Median: $88
  • Cash Discount Price: $263
  • vs. Medicare Baseline: 0.99x Medicare
The contracted insurance negotiated median rate for a X-ray, chest (single view) at Prisma Health Hillcrest Hospital is $88. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $263. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 0.99x the Medicare baseline. Located in 741 South East Main Street, Simpsonville, SC.
Cash / Self-Pay
$263

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: $263 (296%)
Insurance Median: $88 (99%)
Cash: $263 (296% 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
First Choice Benefits Mgmt [3074] $10 11%
Medicaid / KanCare $10 - $62 11%
Medicare (plans) $10 - $91 11%
Humana $11 - $85 12%
UnitedHealthcare $62 - $422 70%
Tricare $82 92%
Blue Cross Blue Shield $83 - $216 93%
Champva [3049] $83 93%
Cigna $83 - $443 93%
Covid19 Hrsa Uninsured Testing & Treatment Fund [904] $83 93%
Deseret Mutual Ins Co [3066] $83 93%
Generic Skilled Nursing [3196] $83 93%
Hospice Contracted [1500] $83 93%
Hospice Non Contracted [3190] $83 93%
Triwest Healthcare Alliance Vcp [902] $83 93%
Va Community Care Network-Vaccn [903] $83 93%
Veterans Administration [3194] $83 93%
Aetna $87 - $319 98%
Healthy Conn Prime-Wellcare Prime By Atc [5310] $87 98%
Healthy Conn Prime-First Choice Vip Care [5300] $88 99%
Healthy Conn Prime-Molina Healthcare [5330] $91 102%
Prisma Health Seniorcare Pace - Midlands [5400] $94 106%
Prisma Health Seniorcare Pace-Upstate [5200] $94 106%
Bob Jones Univ-Pai [821] $106 119%
Sc Dept Of Corrections [2998] $110 124%
Scdc-Sc Dept Of Corrections [7232] $110 124%
Bluechoice [810] $111 - $228 125%
Workers Comp [600] $116 130%
Promise Health Plan Contracted [2401] $141 - $242 159%
Ambetter / Centene $153 172%
Orangeburg Senior Helping Center Pace [5401] $162 182%
Planned Administrators [820] $216 243%
Meritain Health Contracted [2200] $259 - $319 291%
Preferred Administrators Contracted [2839] $283 318%
Medcost [2940] $299 - $335 336%
Atlantic Packaging Contracted [4833] $303 341%
Aps Healthcare System [2981] $323 363%
Multiplan/Phcs Contracted [2950] $360 405%
Vsp Vision Care [2986] $364 409%
First Health Contracted [2952] $376 423%
Furman Int/Allen University Student [2951] $376 423%
Quiktrip-First Health [3067] $376 423%
Golden Rule Insurance Company [2991] $422 475%
Oxford Health Plans [2992] $422 475%
Zzumr-Salt Lake City Ut [3169] $422 475%
Evernorth Behavioral Contracted [2982] $443 498%
Mvp Health Care [3037] $443 498%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 741 South East Main Street, Simpsonville, SC 29681
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals