CMS Price Transparency Data

X-ray, chest (two views)

Facility: Carilion Stonewall Jackson Hospital

Billing Code: 71046 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 71046
  • Insurance Median: $159
  • Cash Discount Price: $106
  • vs. Medicare Baseline: 1.79x Medicare
The contracted insurance negotiated median rate for a X-ray, chest (two views) at Carilion Stonewall Jackson Hospital is $159. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $106. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.79x the Medicare baseline. Located in 1 Health Circle, Lexington, VA.
Cash / Self-Pay
$106

Average discount available for prompt cash payment at this facility.

Insurance Median
$159

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: $106 (119%)
Insurance Median: $159 (179%)
Cash: $106 (119% of Medicare)
Ins. Median: $159 (179% 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 $30 - $406 34%
Sentara Health Plan $31 - $257 35%
Humana $32 - $83 36%
Abh of Wva (Formerly Coventry) $32 36%
Abh of VA (Formerly Coventry) $32 36%
UnitedHealthcare $32 - $339 36%
Aetna $76 - $276 85%
Gateway - Tier 3 $105 - $228 118%
Vhn - Ultra $118 - $257 133%
Connecticare $134 - $290 151%
Vhn - Plus $153 - $332 172%
Gateway - Tier 2 $153 - $332 172%
Cigna $153 - $332 172%
Integrated Health Plan $162 - $353 182%
Vhn $162 - $353 182%
Vhn - Link $172 - $374 193%
Beech Street $176 - $382 198%
Gateway - Tier 1 $181 - $394 204%
Vhn - Secondary Payors $181 - $394 204%

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