CMS Price Transparency Data

X-ray, chest (single view)

Facility: Nationwide Children's Hospital Toledo, LLC

Billing Code: 71045 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 71045
Insurance Median: $106
Cash Discount Price: $666
vs. Medicare Baseline: 1.19x Medicare

The contracted insurance negotiated median rate for a X-ray, chest (single view) at Nationwide Children's Hospital Toledo, LLC is $106. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $666. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.19x the Medicare baseline. Located in 2213 Cherry Street, Toledo, OH.

Cash / Self-Pay

$666

Average discount available for prompt cash payment at this facility.

Insurance Median

$106

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: $666 (749%)

Insurance Median: $106 (119%)

Cash: $666 (749% of Medicare)

Ins. Median: $106 (119% 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
Cigna	$27 - $72	30%
Molina	$64 - $106	72%
UnitedHealthcare	$64 - $561	72%
Amerihealth	$65	73%
Bchp	$65	73%
Blue Cross Blue Shield	$65 - $566	73%
Humana	$65	73%
Caresource	$89 - $93	100%
Mcclaren Health Plan - Michigan	$92	103%
Mmo	$278 - $388	313%
Aetna	$427	480%
Front Path Health Coalition	$462 - $500	520%
Mcclaren Health Plan	$500	562%
Ohc	$555	624%
Ohio Ppo Connect	$555	624%
First Health	$855	962%

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 $666.
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 Toledo, LLC 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.