Chest X-ray, 2 views at Calais Community Hospital. CPT 71046.
What Calais Community Hospital publishes for this service, straight from its standard-charges file.
Outpatient / ER
$59.00cash price (self-pay)
$297list price
$4.00–$474range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Anthem | Medicare Advantage | $47.50 |
| United Healthcare | Medicare Advantage | $47.50 |
| Humana | Commercial | $125 |
| Martins Point Generation | Commercial | $125 |
| Wellcare | HMO | $125 |
| Partners Direct Health | Commercial | $173 |
| Anthem | Commercial | $244 |
| Aetna | Commercial | $256 |
| United Healthcare | PPO | $262 |
| Cigna | Commercial | $271 |
| Harvard Pilgrim | Commercial | $274 |
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