CMS Price Transparency Data

X-ray, chest (single view)

Facility: Sycamore Shoals Hospital

Billing Code: 71045 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 71045
  • Insurance Median: $80
  • Cash Discount Price: $66
  • vs. Medicare Baseline: 0.90x Medicare
The contracted insurance negotiated median rate for a X-ray, chest (single view) at Sycamore Shoals Hospital is $80. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $66. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 0.90x the Medicare baseline. Located in 1501 West Elk Avenue, Elizabethton, TN.
Cash / Self-Pay
$66

Average discount available for prompt cash payment at this facility.

Insurance Median
$80

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: $66 (74%)
Insurance Median: $80 (90%)
Cash: $66 (74% of Medicare)
Ins. Median: $80 (90% 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
Blue Cross Blue Shield $9 - $307 10%
Cigna $32 - $83 36%
UnitedHealthcare $56 - $439 63%
Amerigroup $57 - $79 64%
Optima Health $77 87%
Aetna $79 - $280 89%
Humana $79 89%
Managed Medicaire $79 89%
Medicare (plans) $79 89%
Sentara Health $79 - $122 89%
United Mine Workers Of America $79 89%
Molina Healthcare $80 - $82 90%
Devoted Health Plan $83 93%
Nhc Advantage $83 93%
Wellcare $84 - $439 94%
Medcost $154 173%
Ambetter / Centene $172 193%
First Health Coventry $329 370%
Seven Corners, Inc. $439 494%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1501 West Elk Avenue, Elizabethton, TN 37643
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals