CMS Price Transparency Data

X-ray, chest (single view)

Facility: Tristar Southern Hills Medical Center

Billing Code: 71045 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 71045
Insurance Median: $97
Cash Discount Price: $737
vs. Medicare Baseline: 1.09x Medicare

The contracted insurance negotiated median rate for a X-ray, chest (single view) at Tristar Southern Hills Medical Center is $97. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $737. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.09x the Medicare baseline. Located in 391 Wallace Rd, Nashville, TN.

Cash / Self-Pay

$737

Average discount available for prompt cash payment at this facility.

Insurance Median

$97

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: $737 (829%)

Insurance Median: $97 (109%)

Cash: $737 (829% of Medicare)

Ins. Median: $97 (109% 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
Blue Cross Blue Shield	$9 - $21	10%
Aetna	$34 - $368	38%
Humana	$34 - $184	38%
Cigna	$55 - $240	62%
United	$84 - $331	94%
Kentucky Labor Cabinet	$136	153%
Apex Health	$140	157%
Nhc Advantage, Inc.	$140	157%
Pruitt Health (Allyalign)	$140	157%
Centurion	$304	342%
Bgfh Singlesource	$368 - $626	414%
Multiplan	$427	480%
Employers Health Network	$516	580%
Odom'S Tn Pride Sausage	$552	621%
Beech Street	$648	729%
Prime Health	$648	729%

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 $737.
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 Tristar Southern Hills Medical Center 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.