CMS Price Transparency Data

X-ray, chest (two views)

Facility: Cleveland Clinic Children's Hospital for Rehab

Billing Code: 71046 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 71046
Insurance Median: $328
Cash Discount Price: $356
vs. Medicare Baseline: 3.69x Medicare

The contracted insurance negotiated median rate for a X-ray, chest (two views) at Cleveland Clinic Children's Hospital for Rehab is $328. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $356. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 3.69x the Medicare baseline. Located in 2801 Martin Luther King, Jr Drive, Cleveland, OH.

Cash / Self-Pay

$356

Average discount available for prompt cash payment at this facility.

Insurance Median

$328

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: $356 (400%)

Insurance Median: $328 (369%)

Cash: $356 (400% of Medicare)

Ins. Median: $328 (369% 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 369% of the Medicare baseline (a markup of 269%). 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	$78 - $401	88%
Paramount	$85	96%
Blue Cross Blue Shield	$87 - $414	98%
Molina	$87	98%
Caresource	$88	99%
United	$88 - $314	99%
Amerihealth	$91	102%
Oscar	$165 - $210	186%
Aultcare	$186	209%
Cigna	$236 - $438	265%
Amish Community Aid Plan	$246 - $274	277%
Ohcp	$266	299%
Summacare	$271 - $275	305%
Buckeye	$299 - $363	336%
Healthsmart	$301	339%
Php	$328	369%
Phphi	$328	369%
The Health Plan	$328	369%
Upmc	$328	369%
Aetna	$351 - $547	395%
Gms	$383	431%
Medical Benefit Corp	$383	431%
Quality Care Partners	$383	431%
Cc Ehp	$388	436%
Consociate Health	$410	461%
Ohio Healthy	$438	493%
Managed Care Services	$492	553%
Multiplan	$492	553%
Three Rivers	$492	553%

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 $356.
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 Cleveland Clinic Children's Hospital for Rehab 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.