Chest X-ray, 2 views at Good Samaritan Hospital (GSH). CPT 71046.
What Good Samaritan Hospital (GSH) publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$204cash price (self-pay)
$340list price
$9.66–$340range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Anthem | Medicaid | $25.56 |
| Caresource HIP | Medicaid | $25.56 |
| Caresource | Medicaid | $25.56 |
| Direct Health | Direct Health | $31.35 |
| Aetna | Medicare Advantage | $31.35 |
| Alliance Coal | Commercial | $31.35 |
| Allwell | MCR ADV/PPO/HMO | $31.35 |
| Anthem HIP | HIP | $31.35 |
| Anthem MCR | MCR ADV/PPO/HMO | $31.35 |
| Anthem MCR | Medicare Advantage | $31.35 |
| Anthem | MCR ADV/PPO/HMO | $31.35 |
| BCBS | Medicare Advantage | $31.35 |
| Cigna | Medicare Advantage | $31.35 |
| Humana | Medicare Advantage | $31.35 |
| United Healthcare | Medicare Advantage | $31.35 |
| CareSource | Commercial | $39.19 |
| HealthLink | HMO | $40.66 |
| OneCare | Commercial | $40.76 |
| HealthLink | PPO | $42.16 |
| Encore Prime | Commercial | $42.97 |
| Aetna | Commercial | $46.30 |
| Hope Trust | Commercial | $62.70 |
| Indiana University | MCR ADV/PPO/HMO | $92.07 |
| MHS Ambetter | Commercial | $92.07 |
| Anthem | Trad/PPO/HMO | $130 |
| Anthem | HealthSync | $157 |
| Amish | Commercial | $170 |
| Anthem | Exchange | $194 |
| United Healthcare | Commercial | $223 |
| Aetna | Medicaid | $242 |
Inpatient
$204cash price (self-pay)
$340list price
$198–$340range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Anthem | Exchange | $198 |
| United Healthcare | Commercial | $225 |
| Anthem | Trad/PPO/HMO | $247 |
| Direct Health | Direct Health | $261 |
| SIHO | Commercial | $261 |
| Cigna | Commercial | $269 |
| Sagamore | Commercial | $269 |
| Corvel | Workers Comp | $279 |
| Aetna | Commercial | $285 |
| Anthem | HealthSync | $292 |
| HealthLink | HMO | $299 |
| Encore Prime | Commercial | $306 |
| Humana | Commercial | $306 |
| HealthLink | PPO | $316 |
| Molina | Medicaid | $340 |
| Underwriters Safety | Commercial | $340 |
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