CMS Price Transparency Data

X-ray, chest (single view)

Facility: Carilion Stonewall Jackson Hospital

Billing Code: 71045 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 71045
  • Insurance Median: $106
  • Cash Discount Price: $86
  • vs. Medicare Baseline: 1.19x Medicare
The contracted insurance negotiated median rate for a X-ray, chest (single view) at Carilion Stonewall Jackson Hospital is $106. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $86. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.19x the Medicare baseline. Located in 1 Health Circle, Lexington, VA.
Cash / Self-Pay
$86

Average discount available for prompt cash payment at this facility.

Insurance Median
$106

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: $86 (97%)
Insurance Median: $106 (119%)
Cash: $86 (97% of Medicare)
Ins. Median: $106 (119% 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
Sentara Health Plan $23 - $226 26%
Blue Cross Blue Shield $23 - $406 26%
UnitedHealthcare $24 - $298 27%
Abh of Wva (Formerly Coventry) $24 27%
Abh of VA (Formerly Coventry) $24 27%
Humana $24 - $83 27%
Aetna $65 - $242 73%
Gateway - Tier 3 $70 - $200 79%
Vhn - Ultra $79 - $226 89%
Connecticare $89 - $255 100%
Vhn - Plus $102 - $291 115%
Gateway - Tier 2 $102 - $291 115%
Cigna $102 - $292 115%
Vhn $108 - $309 121%
Integrated Health Plan $108 - $309 121%
Vhn - Link $114 - $328 128%
Beech Street $117 - $335 132%
Gateway - Tier 1 $121 - $346 136%
Vhn - Secondary Payors $121 - $346 136%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1 Health Circle, Lexington, VA 24450
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals