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 January 1, 2025.
Outpatient / ER
$148cash price (self-pay)
$227list price
$26.98–$2,632range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Peach State | Medicaid | $26.98 |
| Wellcare | Medicaid | $26.98 |
| UHC | Medicare Advantage | $61.29 |
| Aetna | Medicare Advantage | $61.29 |
| Ambetter | Medicare Advantage | $61.29 |
| Anthem BCBS | Medicare Advantage | $61.29 |
| Care Improvement Plus | Medicare Advantage | $61.29 |
| Caresource | Medicare Advantage | $61.29 |
| Centene | Medicare Advantage | $61.29 |
| Cigna HealthSpring | Medicare Advantage | $61.29 |
| Coventry | Medicare Advantage | $61.29 |
| Eon Health Plan | Medicare Advantage | $61.29 |
| Humana | Medicare Advantage | $61.29 |
| Kaiser Permanente | Medicare Advantage | $61.29 |
| Molina | Medicare Advantage | $61.29 |
| Pruitthealth Premier | Medicare Advantage | $61.29 |
| Todays Options PFFS | Medicare Advantage | $61.29 |
| Todays Options PPO | Medicare Advantage | $61.29 |
| VACCN United | Veterans Affairs | $61.29 |
| Wellcare | Medicare Advantage | $61.29 |
| Anthem | Pathway Program | $76.95 |
| Anthem | HMO | $164 |
| Anthem | PPO | $164 |
| COVENTRY | All Products | $170 |
| First Health | All Products | $170 |
| Humana | All Products | $170 |
| PHCS | All Products | $170 |
| Aetna | All Products | $182 |
| MERITAIN | All Products | $182 |
| Cigna | All products | $186 |
Inpatient
$148cash price (self-pay)
$227list price
$43.88–$227range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Anthem | Pathway Program | $43.88 |
| Anthem | PPO | $115 |
| Anthem | HMO | $115 |
| NOVA | All Products | $193 |
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