CMS Price Transparency Data

X-ray, chest (two views)

Facility: Ohiohealth Morrow County Hospital

Billing Code: 71046 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 71046
  • Insurance Median: $159
  • Cash Discount Price: $273
  • vs. Medicare Baseline: 1.79x Medicare
The contracted insurance negotiated median rate for a X-ray, chest (two views) at Ohiohealth Morrow County Hospital is $159. 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 1.79x the Medicare baseline. Located in 651 West Marion Road, Mount Gilead, OH.
Cash / Self-Pay
$273

Average discount available for prompt cash payment at this facility.

Insurance Median
$159

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: $159 (179%)
Cash: $273 (307% of Medicare)
Ins. Median: $159 (179% 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
Blue Cross Blue Shield $70 - $325 79%
Medicaid / KanCare $70 - $71 79%
UnitedHealthcare $70 - $344 79%
Amerihealth Caritas - All Plans $72 81%
Humana $72 - $391 81%
Molina Exchange - All Other Plans $115 129%
Medicare (plans) $156 - $159 175%
Aetna $159 - $362 179%
Caresource Marketplace - All Other Plans $194 218%
Medical Mutual Of Ohio Marketplace $315 354%
Ohiohealthy Network - All Other Plans $315 354%
Ohiohealthy Preferred $315 354%
Medical Mutual Of Ohio Comm - All Other Plans $341 384%
Medical Mutual Of Ohio - Admin Serv $357 402%
Phcs - All Plans $387 435%
Cigna $395 444%
Multiplan - All Plans $399 449%
Healthstar Comm - All Plans $404 454%
Beech Street - All Plans $408 459%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 651 West Marion Road, Mount Gilead, OH 43338
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals