CMS Price Transparency Data

X-ray, chest (two views)

Facility: University Hospitals Avon Rehabilitation Hospital

Billing Code: 71046 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 71046
  • Insurance Median: $315
  • Cash Discount Price: $315
  • vs. Medicare Baseline: 3.54x Medicare
The contracted insurance negotiated median rate for a X-ray, chest (two views) at University Hospitals Avon Rehabilitation Hospital is $315. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $315. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 3.54x the Medicare baseline. Located in 37900 Chester Rd, Avon, OH.
Cash / Self-Pay
$315

Average discount available for prompt cash payment at this facility.

Insurance Median
$315

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: $315 (354%)
Insurance Median: $315 (354%)
Cash: $315 (354% of Medicare)
Ins. Median: $315 (354% 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 354% of the Medicare baseline (a markup of 254%). 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.

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
Uh Employees (Administered By Meritian) $123 138%
Blue Cross Blue Shield $181 - $315 204%
Healthsmart (Formerly Emerald) $205 231%
Ohio Health Choice - Preferred Choice Plus $205 231%
Clarity Health (Enterprise Group Planning Will Be Listed On Id Card As Well) $233 262%
Occunet Fka Health Ohio Network $233 262%
Paramount $236 - $315 265%
Ohio Preferred Network $252 283%
First Health $268 301%
Beechstreet $284 319%
Fortified $284 319%
Multiplan $284 319%
Ohio Health Choice $284 319%
Phcs $284 319%
Aetna $315 354%
Ambetter / Centene $315 354%
Amerihealth Cartias $315 354%
Antidote Healthe Care Of Ohio $315 354%
Aultcare $315 354%
Buckeye $315 354%
Caresource $315 354%
Caresource (Marketplace) $315 354%
Cigna $315 354%
Devoted $315 354%
Health Plan $315 354%
Humana $315 354%
Jp Farley (Select Employers) $315 354%
Medical Mutual $315 354%
Medical Mutual (Supermed, Trad, Medflex) $315 354%
Medical Mutual (Marketplace Plan) $315 354%
Molina $315 354%
Summacare $315 354%
United $315 354%
UnitedHealthcare $315 354%
Wellcare $315 354%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 37900 Chester Rd, Avon, OH 44011
  • CMS Rating: No CMS Rating
  • Ownership Type: N/A
  • Hospital Type: PART A PROVIDER - HOSPITAL