CMS Price Transparency Data

X-ray, chest (single view)

Facility: Nationwide Children's Hospital

Billing Code: 71045 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 71045
Insurance Median: $133
Cash Discount Price: $387
vs. Medicare Baseline: 1.50x Medicare

The contracted insurance negotiated median rate for a X-ray, chest (single view) at Nationwide Children's Hospital is $133. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $387. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.50x the Medicare baseline. Located in 700 Children's Drive, Columbus, OH.

Cash / Self-Pay

$387

Average discount available for prompt cash payment at this facility.

Insurance Median

$133

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: $387 (435%)

Insurance Median: $133 (150%)

Cash: $387 (435% of Medicare)

Ins. Median: $133 (150% 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.

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
Aetna	$9 - $408	10%
Caresource	$12 - $133	13%
Humana	$20 - $408	22%
UnitedHealthcare	$24 - $408	27%
Ohio Ppo Connect	$25 - $400	28%
Osu	$25 - $400	28%
Blue Cross Blue Shield	$27 - $404	30%
Tricare	$31	35%
Mmo	$32 - $404	36%
Cigna	$33 - $404	37%
Front Path Health Coalition	$33 - $404	37%
Ohc	$33 - $400	37%
Ohg	$33 - $387	37%
The Health Plan	$33 - $413	37%
Amerihealth	$87	98%
Bchp	$87	98%
Molina	$87	98%
Ahpo	$404	454%
Unicare	$408	459%
Emerald Health	$421	474%
First Health	$421	474%
Phcs	$421	474%

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 $387.
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 Nationwide Children's 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.