CMS Price Transparency Data

X-ray, chest (two views)

Facility: Adena Fayette Medical Center

Billing Code: 71046 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 71046
Insurance Median: $230
Cash Discount Price: $173
vs. Medicare Baseline: 2.59x Medicare

The contracted insurance negotiated median rate for a X-ray, chest (two views) at Adena Fayette Medical Center is $230. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $173. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 2.59x the Medicare baseline. Located in 1430 Columbus Avenue, Washington Ch, OH.

Cash / Self-Pay

$173

Average discount available for prompt cash payment at this facility.

Insurance Median

$230

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: $173 (195%)

Insurance Median: $230 (259%)

Cash: $173 (195% of Medicare)

Ins. Median: $230 (259% 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 259% of the Medicare baseline (a markup of 159%). 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
Blue Cross Blue Shield	$118 - $241	133%
Aetna	$142 - $275	160%
Buckeye Community Health Plan	$142	160%
Humana	$142	160%
Medical Mutual Of Ohio	$142 - $261	160%
Medigold	$142	160%
Molina	$142	160%
Care Source	$145	163%
Molina Marketplace	$156	175%
United Medical Resources Ohcp	$218	245%
UnitedHealthcare	$218 - $220	245%
Cigna	$239	269%
Ohio Ppo Connect	$243	273%
The Health Plan	$243	273%
Care Source Just4Me	$256	288%
Medical Mutual Of Ohio Supermed	$261	294%
First Health	$272	306%
Ohio Health Choice	$276	310%
Multiplan/Private Healthcare Systems	$330	371%
Sidecar Health	$392	441%

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 $173.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 71046.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Adena Fayette Medical Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 71046.
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.