Chest X-ray, 2 views at Gundersen Palmer Lutheran Hospital and Clinic. CPT 71046.
What Gundersen Palmer Lutheran Hospital and Clinic publishes for this service, straight from its standard-charges file, last updated June 27, 2026.
Outpatient / ER
$169cash price (self-pay)
$285list price
$24.82–$276range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Amerigroup | Medicaid HMO | $24.82 |
| Molina Health | Managed Medicaid | $24.82 |
| Quartz | All Products | $121 |
| Quartz | All Other Self Funded | $125 |
| Wellmark | HMO | $128 |
| Quartz | Self Funded | $134 |
| Quartz | Level Funded | $138 |
| Wellmark | Indemnity/PPO | $140 |
| UHC | All Payer Appendix | $141 |
| Health Partners | Medicaid HMO | $143 |
| Wellmark | All Products | $145 |
| Aetna | Medicare Advantage | $148 |
| Amerigroup | Medicare Advantage | $148 |
| Health Partners | Medicare Advantage | $148 |
| Humana | Medicare Advantage | $148 |
| Iowa Total Care | Medicaid | $148 |
| Managed Health Service | Managed Medicaid | $148 |
| Quartz | Medicare Advantage | $148 |
| Quartz | Medicaid_Badgercare | $148 |
| UHC | Medicare Advantage | $148 |
| Wellmark | Medicare Advantage | $148 |
| Quartz | Fully Insured | $155 |
| UCARE | Non-Dually Eligible | $157 |
| UCARE | Dually Eligible | $157 |
| UCARE | MSHO/Minnesota Special Needs | $157 |
| Health Partners | Medicare Cost | $171 |
| Alliance | Premier/All Products | $228 |
| Medical Associates | CAH Specific | $228 |
| Trilogy | All Products | $228 |
| UCARE | Qualified Health Plan | $228 |
Inpatient
$169cash price (self-pay)
$285list price
$121–$276range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Quartz | All Other Self Funded | $168 |
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All common services at Gundersen Palmer Lutheran Hospital and Clinic