CMS Price Transparency Data

X-ray, chest (single view)

Facility: Charleston Area Medical Center

Billing Code: 71045 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 71045
Insurance Median: $137
Cash Discount Price: $301
vs. Medicare Baseline: 1.54x Medicare

The contracted insurance negotiated median rate for a X-ray, chest (single view) at Charleston Area Medical Center is $137. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $301. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.54x the Medicare baseline. Located in 501 Morris Street, Charleston, WV.

Cash / Self-Pay

$301

Average discount available for prompt cash payment at this facility.

Insurance Median

$137

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: $301 (339%)

Insurance Median: $137 (154%)

Cash: $301 (339% of Medicare)

Ins. Median: $137 (154% 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
Aetna	$84 - $368	94%
The Health Plan Of West Virginia Inc.	$84 - $364	94%
Tricare	$84 - $225	94%
Unicare Health Plan Of West Virginia Inc.	$84	94%
Triwest Va	$86	97%
Blue Cross Blue Shield	$89 - $342	100%
Choicecare Network	$89 - $368	100%
Optimum Choice Inc.	$89	100%
UnitedHealthcare	$92 - $368	103%
West Virginia Senior Advantage Inc.	$93	105%
City Of Charleston	$105 - $281	118%
Integrated Medical Solutions	$126 - $173	142%
Cigna	$130 - $349	146%
Three Rivers Providers Network	$136 - $364	153%
Healthsmart	$137 - $368	154%
Multiplan	$137 - $368	154%
Caresource	$140 - $222	157%
Naphcare	$140 - $178	157%

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 $301.
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 Charleston Area 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.