CMS Price Transparency Data

X-ray, chest (single view)

Facility: Wooster Community Hospital

Billing Code: 71045 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 71045
  • Insurance Median: $151
  • Cash Discount Price: $189
  • vs. Medicare Baseline: 1.70x Medicare
The contracted insurance negotiated median rate for a X-ray, chest (single view) at Wooster Community Hospital is $151. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $189. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.70x the Medicare baseline. Located in 1761 Beall Avenue, Wooster, OH.
Cash / Self-Pay
$189

Average discount available for prompt cash payment at this facility.

Insurance Median
$151

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: $189 (213%)
Insurance Median: $151 (170%)
Cash: $189 (213% of Medicare)
Ins. Median: $151 (170% 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
Buckeye Mcaid-All Other Plans $50 56%
Caresource Mcaid $50 56%
UnitedHealthcare $50 - $179 56%
Blue Cross Blue Shield $51 - $174 57%
Molina Mcaid $51 57%
Aetna $52 - $189 58%
Amerihealth Mcaid-All Plans $52 58%
Tricare $82 92%
Buckeye Mcare $84 94%
Caresource Mcr Adv $84 94%
Humana $84 - $178 94%
Med Mutual Of Oh Mcr $84 94%
Molina Mcr $84 94%
Summacare Mcr $84 94%
The Health Plan Mcr Adv $84 94%
Valor Hp Mcr-All Plans $84 94%
Aultcare/Primecare Mcr Adv $93 105%
Magnipower-All Plans $109 123%
Caresource Exch - All Other Plans $120 135%
Cerco-All Plans $132 148%
Aultcare Wayne County $142 160%
Aultcare/Primetime Exch $142 160%
Rayco-All Plans $142 160%
Molina Marketplace - All Other Plans $143 161%
Christian Health Ministries-All Plans $151 170%
Cigna $151 170%
Health Ohio Network Employer $151 170%
Wayne County-All Plans $151 170%
Healthsmart Accel $157 177%
Summacare Preferred Choice $157 177%
Health Ohio Network Ppo-All Other Plans $161 181%
Healthsmart Complete Ppo-All Other Plans $161 181%
Ohio Health Choice Supp $161 181%
Ohio Health Group Hlthy - All Other Plans $161 181%
Med Mutual Of Oh Exchange $162 182%
Med Mutual Of Oh Supermed $162 182%
Med Mutual Of Oh Trad-All Other Plans $162 182%
Clarity Health - All Plans $164 184%
Health Plan Of Upper Ohio-All Plans $166 187%
The Health Plan Comm - All Other Plans $166 187%
Ohio Health Group Pref $168 189%
Aultcare/Primetime-All Other Plans $170 191%
Healthsmart Ppo $172 193%
Summacare-All Other Plans $176 198%
Ohio Health Choice-All Other Plans $178 200%
Healthsmart Hpo $179 201%
Osu-All Plans $179 201%
Central Benefits-All Plans $181 204%
First Health-All Plans $181 204%
Flora-All Plans $181 204%
Beech Street-All Plans $183 206%
Phcs-All Plans $183 206%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1761 Beall Avenue, Wooster, OH 44691
  • CMS Rating: ★★★★☆
  • Ownership Type: Government - Local
  • Hospital Type: Acute Care Hospitals