CMS Price Transparency Data

X-ray, chest (two views)

Facility: Southwest General Health Center

Billing Code: 71046 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 71046
  • Insurance Median: $94
  • Cash Discount Price: $273
  • vs. Medicare Baseline: 1.06x Medicare
The contracted insurance negotiated median rate for a X-ray, chest (two views) at Southwest General Health Center is $94. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $273. 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
$273

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: $273 (307%)
Insurance Median: $94 (106%)
Cash: $273 (307% 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 $23 - $110 26%
Caresource $23 - $94 26%
Humana $23 - $142 26%
Molina $23 - $110 26%
UnitedHealthcare $23 - $197 26%
Amerihealth Caritas $24 - $94 27%
Medical Mutual $35 - $38 39%
Medical Mutual-Ohio $35 - $44 39%
Blue Cross Blue Shield $44 - $94 49%
Valor Health $44 49%
Healthsmart $116 130%
Health Design Plus $135 152%
Clarity Health $146 164%
Healthspan $146 164%
Healthsmart Preferred $164 184%
Ohio Health Choice Plus $176 198%
Aetna $197 222%
Summacare $197 222%
Cigna $199 224%
Coventry $251 282%
First Health $251 282%
Ohio Health Choice $281 316%
Private Healthare Systems $291 327%

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