CMS Price Transparency Data

X-ray, chest (two views)

Facility: University Hospitals - Elyria Medical Center

Billing Code: 71046 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 71046
  • Insurance Median: $230
  • Cash Discount Price: $352
  • vs. Medicare Baseline: 2.59x Medicare
The contracted insurance negotiated median rate for a X-ray, chest (two views) at University Hospitals - Elyria Medical Center is $230. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $352. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 2.59x the Medicare baseline. Located in 630 East River Street, Elyria, OH.
Cash / Self-Pay
$352

Average discount available for prompt cash payment at this facility.

Insurance Median
$230

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: $352 (396%)
Insurance Median: $230 (259%)
Cash: $352 (396% of Medicare)
Ins. Median: $230 (259% 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 259% of the Medicare baseline (a markup of 159%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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
Aetna $62 - $145 70%
Blue Cross Blue Shield $82 - $217 92%
Cigna $82 - $263 92%
Devoted Health $82 92%
Humana $82 92%
Medical Mutual Of Ohio $82 - $230 92%
Molina $82 92%
Primetime Health Plan $82 92%
Summacare $82 - $239 92%
The Health Plan $82 - $310 92%
UnitedHealthcare $82 - $285 92%
Wellcare By Allwell $82 92%
Paramount $84 94%
Perennial Advantage Of Ohio $86 97%
Valor Health Plans $86 97%
University Health Employee Plan (Contigo) $88 99%
Ambetter / Centene $147 165%
Caresource $147 165%
Amish Aid Community Plan $216 243%
Amish Church Fund And Workers Aid Plan $216 243%
Buckeye Plain Ministries $216 243%
Jp Farley $220 247%
Clarity $225 253%
Christian Healthcare Ministries $234 263%
Immergrun $234 263%
Sunrise Plan Communities $234 263%
Aultcare $258 290%
Healthsmart $305 343%
Ohio Health Choice $305 - $422 343%
Medical Mutual Traditional/Health Ohio $328 369%
Beech Street $375 - $422 422%
Ohio Preferred Network $375 - $422 422%
First Health $389 438%
Century Health Network $399 449%
Private Healthcare System $403 453%
Configurenet $422 475%
Fortified Provider Network $422 475%
Multiplan $422 475%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 630 East River Street, Elyria, OH 44035
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals