CMS Price Transparency Data
X-ray, chest (single view)
Facility: Mount Carmel St Ann's
Billing Code: 71045 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 71045
- Insurance Median: $298
- Cash Discount Price: $5,109
- vs. Medicare Baseline: 3.35x Medicare
The contracted insurance negotiated median rate for a X-ray, chest (single view) at Mount Carmel St Ann's is $298. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $5,109. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 3.35x the Medicare baseline. Located in 500 South Cleveland Avenue, Westerville, OH.
Cash / Self-Pay
$5,109
Average discount available for prompt cash payment at this facility.
Insurance Median
$298
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: $5,109 (5746%)
Insurance Median: $298 (335%)
Cash: $5,109 (5746% of Medicare)
Ins. Median: $298 (335% 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.
Elevated Commercial Rate Alert (Value-Gap)
The negotiated rate at this facility is 335% of the Medicare baseline (a markup of 235%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.
Out-of-Pocket Cost Estimator
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Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Medicare (plans) | $74 - $88 | 83% |
| Aetna | $82 - $3,563 | 92% |
| Blue Cross Blue Shield | $82 - $638 | 92% |
| Hospice Mount Carmel | $84 | 94% |
| Oscar | $84 | 94% |
| UnitedHealthcare | $84 - $7,902 | 94% |
| The Health Plan | $86 - $419 | 97% |
| American Postal Workers Secondary | $116 - $2,921 | 130% |
| Cigna | $116 - $2,921 | 130% |
| Health Partners | $116 - $2,921 | 130% |
| Healthgram | $116 - $2,921 | 130% |
| Mvp | $116 - $2,921 | 130% |
| Priority Health | $116 - $2,921 | 130% |
| Enterprise Group Planning | $162 | 182% |
| Custom Design Benefits | $175 | 197% |
| Quality Care Partners | $190 | 214% |
| Medical Mutual | $206 - $506 | 232% |
| Geha | $286 - $7,902 | 322% |
| Gravie Admin Services | $286 | 322% |
| Healthez | $286 | 322% |
| Meritain | $286 | 322% |
| Webtpa | $286 | 322% |
| Access Health | $298 | 335% |
| Acclaim | $298 | 335% |
| Administrative Concepts | $298 | 335% |
| Allegeant | $298 | 335% |
| Allied Benefit Systems | $298 | 335% |
| American Family | $298 | 335% |
| American Healthcare Alliance | $298 | 335% |
| American National | $298 | 335% |
| American Republic | $298 | 335% |
| Amerihealth | $298 | 335% |
| Aultcare | $298 | 335% |
| Automated Benefit Services | $298 | 335% |
| Auxiant | $298 | 335% |
| Benefit Administrative Systems,Llc | $298 | 335% |
| Boon Chapman | $298 | 335% |
| Cam Administrative Services | $298 | 335% |
| Christian Brother Services | $298 | 335% |
| Christian Brothers Holy Cross | $298 | 335% |
| Claimchoice Adminstrators | $298 | 335% |
| Comprehensive Benefits | $298 | 335% |
| Continental Life Insurance | $298 | 335% |
| Coventry | $298 | 335% |
| Custom Benefit Administrators | $298 | 335% |
| Cypress Benefit Administrators | $298 | 335% |
| Employee Benefit Concepts | $298 | 335% |
| Employee Benefit Management | $298 | 335% |
| Forest County Potawatomi | $298 | 335% |
| Freedom Life Insurance Company | $298 | 335% |
| Group Administrators | $298 | 335% |
| Group Marketing Services | $298 | 335% |
| Group Pension Administrators | $298 | 335% |
| Guardian | $298 | 335% |
| Health America | $298 | 335% |
| Health Choices | $298 | 335% |
| Healthcare Management Admin | $298 | 335% |
| Insight | $298 | 335% |
| Intercare | $298 | 335% |
| Jfp Benefit Management | $298 | 335% |
| Jp Farley Corporation | $298 | 335% |
| Key Benefit Administrator | $298 | 335% |
| Liberty Union Life Assurance Co | $298 | 335% |
| Lucent Health | $298 | 335% |
| Luminare Health | $298 | 335% |
| Magnacare | $298 | 335% |
| Medcost | $298 | 335% |
| Mutual Health Services | $298 | 335% |
| Mutual Of Omaha | $298 | 335% |
| Ncas | $298 | 335% |
| Nippon Life Ins | $298 | 335% |
| Nova | $298 | 335% |
| Painters Union Insurance Fund | $298 | 335% |
| Physicians Mutual | $298 | 335% |
| Plumbers Local 98 Insurance Fund | $298 | 335% |
| Prairie States | $298 | 335% |
| Preferred One | $298 | 335% |
| Primary Physician Care | $298 | 335% |
| Professional Benefit Administrators | $298 | 335% |
| Secureone Preferred United Plans | $298 | 335% |
| Siho Insurance Services | $298 | 335% |
| Sisco Benefits | $298 | 335% |
| The Loomis Company | $298 | 335% |
| Trustmark Small Business Benefits | $298 | 335% |
| U Of M Health Plan | $298 | 335% |
| Unicare | $298 | 335% |
| Unified Group Services | $298 | 335% |
| Us Health And Life | $298 | 335% |
| Valenz | $298 | 335% |
| Varipro | $298 | 335% |
| Wps | $298 | 335% |
| Western & Southern Financial Group | $299 | 336% |
| Rural Carrier Health Benefit Plan | $300 - $3,563 | 337% |
| Blue Benefit Administrators Of Massachusetts | $313 | 352% |
| Blue Care Network | $313 | 352% |
| Blue Distinction Transplant | $313 | 352% |
| Blue Shield - Ca | $313 | 352% |
| Blue Shield - Id (Regence) | $313 | 352% |
| Blue Shield - Ny Highmark Northeastern | $313 | 352% |
| Blue Shield - Ny Highmark Western | $313 | 352% |
| Blue Shield - Pa (Highmark) | $313 | 352% |
| Blue Shield - Wa (Regence) | $313 | 352% |
| Humana | $326 - $638 | 367% |
| First Health | $336 | 378% |
| Paramount Hmo | $336 | 378% |
| Medben | $383 - $478 | 431% |
| Consociate | $390 | 439% |
| Health Ohio Network | $390 | 439% |
| Caresource | $466 | 524% |
| Healthlink Inc | $478 | 538% |
| Medical Benefits Mutual | $478 | 538% |
| Ohio Health Choice | $478 | 538% |
| Ohio Ppo Connect | $478 | 538% |
| Ameriben | $510 | 574% |
| Luminare Health (Detroit) | $510 | 574% |
| Medi Share | $510 | 574% |
| Multiplan | $510 | 574% |
| Ohiohealthy | $510 | 574% |
| Osu Not Independent Choice | $510 | 574% |
| Phcs | $510 | 574% |
| Philadelphia American Life Insurance | $510 | 574% |
| Twin Valley Psychiatric | $510 | 574% |
| Health Smart | $542 | 610% |
| Crime Victim Assistance | $632 | 711% |
| Ohio Safe Program | $632 | 711% |
| Bccp | $638 | 718% |
| Medicaid / KanCare | $638 | 718% |
| Optima Health | $638 | 718% |