CMS Price Transparency Data
X-ray, chest (two views)
Facility: Mount Carmel Dublin
Billing Code: 71046 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 71046
- Insurance Median: $318
- Cash Discount Price: $442
- vs. Medicare Baseline: 3.58x Medicare
The contracted insurance negotiated median rate for a X-ray, chest (two views) at Mount Carmel Dublin is $318. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $442. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 3.58x the Medicare baseline. Located in 4105 Emerald Pkwy, Dublin, OH.
Cash / Self-Pay
$442
Average discount available for prompt cash payment at this facility.
Insurance Median
$318
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: $442 (497%)
Insurance Median: $318 (358%)
Cash: $442 (497% of Medicare)
Ins. Median: $318 (358% 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 358% of the Medicare baseline (a markup of 258%). 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.
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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 - $320 | 92% |
| Blue Cross Blue Shield | $82 - $680 | 92% |
| Oscar | $84 | 94% |
| UnitedHealthcare | $84 - $324 | 94% |
| The Health Plan | $86 | 97% |
| American Postal Workers Secondary | $158 | 178% |
| Cigna | $158 | 178% |
| Health Partners | $158 | 178% |
| Healthgram | $158 | 178% |
| Mvp | $158 | 178% |
| Priority Health | $158 | 178% |
| Enterprise Group Planning | $162 | 182% |
| Custom Design Benefits | $175 | 197% |
| Quality Care Partners | $190 | 214% |
| Medical Mutual | $206 - $284 | 232% |
| Western & Southern Financial Group | $284 | 319% |
| Geha | $305 - $324 | 343% |
| Gravie Admin Services | $305 | 343% |
| Healthez | $305 | 343% |
| Meritain | $305 | 343% |
| Webtpa | $305 | 343% |
| Access Health | $318 | 358% |
| Acclaim | $318 | 358% |
| Administrative Concepts | $318 | 358% |
| Allegeant | $318 | 358% |
| Allied Benefit Systems | $318 | 358% |
| American Family | $318 | 358% |
| American Healthcare Alliance | $318 | 358% |
| American National | $318 | 358% |
| American Republic | $318 | 358% |
| Amerihealth | $318 | 358% |
| Aultcare | $318 | 358% |
| Automated Benefit Services | $318 | 358% |
| Auxiant | $318 | 358% |
| Benefit Administrative Systems,Llc | $318 | 358% |
| Boon Chapman | $318 | 358% |
| Cam Administrative Services | $318 | 358% |
| Christian Brother Services | $318 | 358% |
| Christian Brothers Holy Cross | $318 | 358% |
| Claimchoice Adminstrators | $318 | 358% |
| Comprehensive Benefits | $318 | 358% |
| Continental Life Insurance | $318 | 358% |
| Coventry | $318 | 358% |
| Custom Benefit Administrators | $318 | 358% |
| Cypress Benefit Administrators | $318 | 358% |
| Employee Benefit Concepts | $318 | 358% |
| Employee Benefit Management | $318 | 358% |
| Forest County Potawatomi | $318 | 358% |
| Freedom Life Insurance Company | $318 | 358% |
| Group Administrators | $318 | 358% |
| Group Marketing Services | $318 | 358% |
| Group Pension Administrators | $318 | 358% |
| Guardian | $318 | 358% |
| Health America | $318 | 358% |
| Health Choices | $318 | 358% |
| Healthcare Management Admin | $318 | 358% |
| Insight | $318 | 358% |
| Intercare | $318 | 358% |
| Jfp Benefit Management | $318 | 358% |
| Jp Farley Corporation | $318 | 358% |
| Key Benefit Administrator | $318 | 358% |
| Liberty Union Life Assurance Co | $318 | 358% |
| Lucent Health | $318 | 358% |
| Luminare Health | $318 | 358% |
| Magnacare | $318 | 358% |
| Medcost | $318 | 358% |
| Mutual Health Services | $318 | 358% |
| Mutual Of Omaha | $318 | 358% |
| Ncas | $318 | 358% |
| Nippon Life Ins | $318 | 358% |
| Nova | $318 | 358% |
| Painters Union Insurance Fund | $318 | 358% |
| Physicians Mutual | $318 | 358% |
| Plumbers Local 98 Insurance Fund | $318 | 358% |
| Prairie States | $318 | 358% |
| Preferred One | $318 | 358% |
| Primary Physician Care | $318 | 358% |
| Professional Benefit Administrators | $318 | 358% |
| Secureone Preferred United Plans | $318 | 358% |
| Siho Insurance Services | $318 | 358% |
| Sisco Benefits | $318 | 358% |
| The Loomis Company | $318 | 358% |
| Trustmark Small Business Benefits | $318 | 358% |
| U Of M Health Plan | $318 | 358% |
| Unicare | $318 | 358% |
| Unified Group Services | $318 | 358% |
| Us Health And Life | $318 | 358% |
| Valenz | $318 | 358% |
| Varipro | $318 | 358% |
| Wps | $318 | 358% |
| Rural Carrier Health Benefit Plan | $320 | 360% |
| Humana | $348 - $680 | 391% |
| First Health | $358 | 403% |
| Paramount Hmo | $358 | 403% |
| Medben | $408 - $510 | 459% |
| Consociate | $415 | 467% |
| Health Ohio Network | $415 | 467% |
| Healthlink Inc | $510 | 574% |
| Medical Benefits Mutual | $510 | 574% |
| Ohio Health Choice | $510 | 574% |
| Ohio Ppo Connect | $510 | 574% |
| Medi Share | $543 | 611% |
| Multiplan | $543 | 611% |
| Phcs | $543 | 611% |
| Philadelphia American Life Insurance | $543 | 611% |
| Ameriben | $544 | 612% |
| Luminare Health (Detroit) | $544 | 612% |
| Ohiohealthy | $544 | 612% |
| Osu Not Independent Choice | $544 | 612% |
| Twin Valley Psychiatric | $544 | 612% |
| Health Smart | $578 | 650% |
| Medicaid / KanCare | $680 | 765% |