CMS Price Transparency Data

X-ray, chest (single view)

Facility: Lodi Community Hospital

Billing Code: 71045 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 71045
Insurance Median: $302
Cash Discount Price: $365
vs. Medicare Baseline: 3.40x Medicare

The contracted insurance negotiated median rate for a X-ray, chest (single view) at Lodi Community Hospital is $302. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $365. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 3.40x the Medicare baseline. Located in 225 Elyria Street, Lodi, OH.

Cash / Self-Pay

$365

Average discount available for prompt cash payment at this facility.

Insurance Median

$302

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: $365 (411%)

Insurance Median: $302 (340%)

Cash: $365 (411% of Medicare)

Ins. Median: $302 (340% 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 340% of the Medicare baseline (a markup of 240%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
UnitedHealthcare	$66 - $348	74%
Buckeye	$70	79%
Caresource	$70	79%
Blue Cross Blue Shield	$73 - $460	82%
Molina	$73	82%
United	$73 - $401	82%
Amerihealth	$77	87%
Humana	$169	190%
Mmo	$169 - $301	190%
Oscar	$169 - $216	190%
Summacare	$169 - $345	190%
Aetna	$191 - $562	215%
The Health Plan	$225 - $450	253%
Amish Community Aid Plan	$253 - $281	285%
Ohcp	$273	307%
Aultcare	$281	316%
Omas	$281	316%
Ohio Healthy	$303	341%
Php	$337	379%
Phphi	$337	379%
Upmc	$337	379%
Cigna	$362	407%
Cc Ehp	$378	425%
Gms	$393	442%
Medical Benefit Corp	$393	442%
Consociate Health	$422	475%
Frontpath	$506	569%
Managed Care Services	$506	569%
Multiplan	$506	569%
Tertiary Care Network	$506	569%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $365.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 71045.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Lodi Community Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 71045.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.