CMS Price Transparency Data

X-ray, chest (single view)

Facility: Southwest General Health Center

Billing Code: 71045 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 71045
  • Insurance Median: $94
  • Cash Discount Price: $224
  • vs. Medicare Baseline: 1.06x Medicare
The contracted insurance negotiated median rate for a X-ray, chest (single view) at Southwest General Health Center is $94. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $224. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.06x the Medicare baseline. Located in 18697 Bagley Road, Middleburg Heights, OH.
Cash / Self-Pay
$224

Average discount available for prompt cash payment at this facility.

Insurance Median
$94

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: $224 (252%)
Insurance Median: $94 (106%)
Cash: $224 (252% of Medicare)
Ins. Median: $94 (106% 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 $15 - $110 17%
Caresource $15 - $94 17%
Humana $15 - $116 17%
Molina $15 - $110 17%
UnitedHealthcare $15 - $161 17%
Amerihealth Caritas $16 - $94 18%
Blue Cross Blue Shield $34 - $94 38%
Medical Mutual-Ohio $34 - $35 38%
Valor Health $34 38%
Medical Mutual $35 - $38 39%
Healthsmart $95 107%
Health Design Plus $110 124%
Clarity Health $119 134%
Healthspan $119 134%
Healthsmart Preferred $134 151%
Ohio Health Choice Plus $144 162%
Aetna $161 181%
Summacare $161 181%
Cigna $163 183%
Coventry $206 232%
First Health $206 232%
Ohio Health Choice $230 259%
Private Healthare Systems $238 268%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 18697 Bagley Road, Middleburg Heights, OH 44130
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals