CMS Price Transparency Data

X-ray, chest (single view)

Facility: Prisma Health Tuomey Hospital

Billing Code: 71045 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 71045
  • Insurance Median: $100
  • Cash Discount Price: $263
  • vs. Medicare Baseline: 1.12x Medicare
The contracted insurance negotiated median rate for a X-ray, chest (single view) at Prisma Health Tuomey Hospital is $100. 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 1.12x the Medicare baseline. Located in 129 N Washington St, Sumter, SC.
Cash / Self-Pay
$263

Average discount available for prompt cash payment at this facility.

Insurance Median
$100

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: $100 (112%)
Cash: $263 (296% of Medicare)
Ins. Median: $100 (112% 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 $10 - $303 11%
Medicaid / KanCare $10 - $62 11%
Blue Cross Blue Shield $59 - $266 66%
Bluechoice [810] $59 - $265 66%
UnitedHealthcare $62 - $195 70%
Cigna $81 - $404 91%
Covid19 Hrsa Uninsured Testing & Treatment Fund [904] $81 91%
Medicare (plans) $81 - $85 91%
Triwest Healthcare Alliance Vcp [902] $81 91%
Va Community Care Network-Vaccn [903] $81 91%
Tricare $82 92%
Aetna $85 - $319 96%
Healthy Conn Prime-First Choice Vip Care [5300] $85 96%
Healthy Conn Prime-Molina Healthcare [5330] $85 96%
Healthy Conn Prime-Wellcare Prime By Atc [5310] $85 96%
Prisma Health Seniorcare Pace - Midlands [5400] $94 106%
Prisma Health Seniorcare Pace-Upstate [5200] $94 106%
Bob Jones Univ-Pai [821] $106 119%
Scdc-Sc Dept Of Corrections [7232] $110 124%
Workers Comp [600] $114 128%
Promise Health Plan Contracted [2401] $141 - $242 159%
Ambetter / Centene $150 169%
Orangeburg Senior Helping Center Pace [5401] $162 182%
Golden Rule Insurance Company [2991] $195 219%
Oxford Health Plans [2992] $195 219%
Zzumr-Salt Lake City Ut [3169] $195 219%
Meritain Health Contracted [2200] $259 - $319 291%
Planned Administrators [820] $266 299%
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%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 129 N Washington St, Sumter, SC 29150
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals