Chest X-ray, 2 views at Good Samaritan Hospital. CPT 71046.
What Good Samaritan Hospital publishes for this service, straight from its standard-charges file, last updated September 1, 2026.
Outpatient / ER
$2,705cash price (self-pay)
$2,705list price
$18.13–$5,074range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Physicians Medical Group | MCD | $18.13 |
| Anthem | Medi-Cal | $19.94 |
| Physician Health Network | MGMCD | $19.94 |
| Santa Clara Family Health Plan | Medicaid | $21.08 |
| Anthem | ExchangeEPO | $122 |
| Anthem | BlueConnection | $128 |
| Anthem | COMM | $128 |
| Cigna | HMO | $129 |
| Cigna | LocalPlus | $129 |
| Cigna | POS | $129 |
| Cigna | PPO | $129 |
| United | AllPayerAppendix | $182 |
| Blue Shield | COMM | $227 |
| Blue Shield | EPN | $227 |
| MedCare Partners | MGMCR | $406 |
| Health Net | COMM | $628 |
| United | OptionsPPO | $690 |
| United | GlobalBenefitPlan | $1,217 |
| NX Health Network | COMM | $1,623 |
| Sutter Select | COMM | $1,623 |
| MultiPlan | Primary | $1,758 |
| ChoiceCare Humana | COMM | $1,893 |
| First Health | COMM | $2,056 |
| Cigna BH | COMMBH | $2,164 |
| HealthSmart | WCOMP | $2,164 |
| Intercontinental Corporation | COMM | $2,164 |
| MultiPlan | Complementary | $2,164 |
| PHA Pacific Health Alliance | COMM | $2,164 |
| PPO Next | COMM | $2,164 |
| PPO Next | PPO | $2,164 |
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