Chest X-ray, 2 views at Samuel Mahelona Memorial Hospital. CPT 71046.
What Samuel Mahelona Memorial Hospital publishes for this service, straight from its standard-charges file, last updated June 15, 2026.
Outpatient / ER
$78.65cash price (self-pay)
$131list price
$10.25–$434range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| AlohaCare | Medicaid | $22.29 |
| Ohana Health Plan | Medicaid | $22.29 |
| UnitedHealthcare | Medicaid | $22.29 |
| AlohaCare | Medicare | $36.26 |
| Ohana Health Plan | Medicare | $36.26 |
| Hawaii Western Management Group | Commercial | $39.25 |
| Devoted Health | Medicare | $39.89 |
| University Health Alliance | Commercial | $62.81 |
| Health Management Network | Commercial | $107 |
| Hawaii Medical Service Association | Commercial | $111 |
| Kaiser Permanente | Medicaid | $135 |
| Humana | Medicare | $222 |
| Hawaii Medical Service Association | ABD | $227 |
| Hawaii Medical Service Association | Non-ABD | $229 |
| Hawaii Medical Service Association | Medicare | $230 |
| Kaiser Permanente | Medicare | $230 |
| UnitedHealthcare | Medicare | $230 |
| Kaiser Permanente | Commercial | $238 |
| MDX Hawaii | PPO | $430 |
Inpatient
$288cash price (self-pay)
$443list price
$377–$430range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Health Management Network | Commercial | $377 |
| Kaiser Permanente | Commercial | $399 |
| MDX Hawaii | PPO | $430 |
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