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 June 29, 2026.
Outpatient / ER
$1,488cash price (self-pay)
$1,488list price
$18.62–$1,589range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Blue Cross Connection/Exchange | Blue Cross Connection/Exchange | $18.62 |
| Blue Cross HMO | Blue Cross HMO | $18.62 |
| Blue Cross Small Group | Blue Cross Small Group | $18.62 |
| Self-Pay | Self-Pay | $20.41 |
| Aetna HP Network | Aetna HP Network | $77.82 |
| Emblem Select Care (Exchange) | Emblem Select Care (Exchange) | $77.92 |
| Aetna Employee | Aetna Employee | $79.32 |
| Aetna | Aetna | $86.58 |
| Emblem Ghi/Hip PPO | Emblem Ghi/Hip PPO | $91.73 |
| Mvp Exchange | Mvp Exchange | $98.00 |
| Beacon Medicare | Beacon Medicare | $108 |
| Hamaspik (Mcr) | Hamaspik (Mcr) | $108 |
| Medicare Managed | Medicare Managed | $108 |
| Mvp Gold (Mcr) | Mvp Gold (Mcr) | $108 |
| Tricare | Tricare | $109 |
| Medicare | Medicare | $109 |
| Emblem Ghi/Hip Medicare | Emblem Ghi/Hip Medicare | $110 |
| Affinity By Molina Mcr | Affinity By Molina Mcr | $114 |
| Health First Medicare | Health First Medicare | $116 |
| Beacon Exchange | Beacon Exchange | $130 |
| Beacon Commercial | Beacon Commercial | $141 |
| Mvp HMO/PPO | Mvp HMO/PPO | $191 |
| Geisinger Health Commercial/Exchange | Geisinger Health Commercial/Exc | $357 |
| Blue Cross Access | Blue Cross Access | $595 |
| Cdphp | Cdphp | $744 |
| Self-Pay - Cc 50% | Self-Pay - Cc 50 | $744 |
| Cigna PPO | Cigna PPO | $1,042 |
| Magnacare Standard | Magnacare Standard | $1,042 |
| Multiplan | Multiplan | $1,116 |
| Phcs | Phcs | $1,116 |
Inpatient
$1,488cash price (self-pay)
$1,488list price
$744–$1,042range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Cdphp | Cdphp | $744 |
| Self-Pay - Cc 50% | Self-Pay - Cc 50 | $744 |
| Magnacare Standard | Magnacare Standard | $1,042 |
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