Chest X-ray, 2 views at Samaritan Hospital. CPT 71046.
What Samaritan Hospital publishes for this service, straight from its standard-charges file, last updated March 31, 2026.
Outpatient / ER
$39.83cash price (self-pay)
$86.00list price
$9.09–$550range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Mvp Medicaid Advantage | Mvp Medicaid | $9.09 |
| Rx Medicare | Medicare | $18.17 |
| Fidelis Care Medicaid Advantage | Fidelis Medicaid Epp 1 & 2 Qhp | $20.45 |
| Fidelis Care Medicaid Advantage | Fidelis Medicaid Ess Plan 3 &4 | $20.45 |
| Mvp Medicaid Advantage | Mvp Medicaid Essential 1 2 3 4 | $20.45 |
| Capital District Physicians Health Medicaid Advantage | Cdphp Medicaid | $34.09 |
| Harvard Pilgrim Healthcare | Pb Xr 100% Default | $59.00 |
| Rx Allwin | Pb Xr 100% Default | $59.00 |
| Union Health Service | Pb Xr 100% Default | $59.00 |
| Dentaquest | Pb Xr 100% Default | $59.00 |
| Molina Medicare Advantage | Pb Xr 100% Default | $59.00 |
| The Health Plan | Pb Xr 100% Default | $59.00 |
| Commonwealth Care Alliance | Pb Xr 100% Default | $59.00 |
| Pace Of Southwest Michigan | Pb Xr 100% Default | $59.00 |
| Health Choices | Pb Xr 100% Default | $59.00 |
| Everence | Pb Xr 100% Default | $59.00 |
| Connecticare Vip Medicare Advantage | Pb Xr 100% Default | $59.00 |
| Principal Life Insurance | Pb Xr 100% Default | $59.00 |
| Rx Medimpact | Pb Xr 100% Default | $59.00 |
| Primary Physician Care | Pb Xr 100% Default | $59.00 |
| Healthsmart Workers Comp | Pb Xr 100% Default | $59.00 |
| Together With Childrens Comminity Health Plan | Pb Xr 100% Default | $59.00 |
| Allegiance | Pb Xr 100% Default | $59.00 |
| Harvard Pilgrim Stride Medicare | Pb Xr 100% Default | $59.00 |
| Actin Care Groups | Pb Xr 100% Default | $59.00 |
| Blue Cross - NY (Excellus) Medicare Advantage | Pb Xr 100% Default | $59.00 |
| Aetna Domestic | Aetna | $66.96 |
| Aetna | Aetna | $66.96 |
| Geha | Aetna | $66.96 |
| Meritain | Aetna | $66.96 |
Inpatient
$27.00cash price (self-pay)
$27.00list price
$6.60–$84.81range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Everence | Pb Xr 100% Default | $51.56 |
| Dentaquest | Pb Xr 100% Default | $51.56 |
| Health Choices | Pb Xr 100% Default | $51.56 |
| Pace Of Southwest Michigan | Pb Xr 100% Default | $51.56 |
| Commonwealth Care Alliance | Pb Xr 100% Default | $51.56 |
| Molina Medicare Advantage | Pb Xr 100% Default | $51.56 |
| The Health Plan | Pb Xr 100% Default | $51.56 |
| Harvard Pilgrim Healthcare | Pb Xr 100% Default | $51.56 |
| Union Health Service | Pb Xr 100% Default | $51.56 |
| Rx Allwin | Pb Xr 100% Default | $51.56 |
| Medicaid - Al | Pb Xr 100% Default | $51.56 |
| Medicaid - Sd | Pb Xr 100% Default | $51.56 |
| Medicaid - Nv | Pb Xr 100% Default | $51.56 |
| Medicaid - Nc | Pb Xr 100% Default | $51.56 |
| Huron Valley Pace Medicaid | Pb Xr 100% Default | $51.56 |
| Rx Cerpassrx | Pb Xr 100% Default | $51.56 |
| Rx Costco Health Solutions | Pb Xr 100% Default | $51.56 |
| Rx Ventegra | Pb Xr 100% Default | $51.56 |
| Rx Capital Rx | Pb Xr 100% Default | $51.56 |
| Rx Pharmpix | Pb Xr 100% Default | $51.56 |
| Rx Bestchoicerx | Pb Xr 100% Default | $51.56 |
| Rx Assistance/Rx Manufacturer Assistance 0 Copay | Pb Xr 100% Default | $51.56 |
| Rx Gilead | Pb Xr 100% Default | $51.56 |
| Gpm Life | Pb Xr 100% Default | $51.56 |
| Novanet | Pb Xr 100% Default | $51.56 |
| Rx Savings | Pb Xr 100% Default | $51.56 |
| Rx Aldot | Pb Xr 100% Default | $51.56 |
| Rx Unknown | Pb Xr 100% Default | $51.56 |
| Auto Bristol West | Pb Xr 100% Default | $51.56 |
| Emerging Therapy Solutions Transplant | Pb Xr 100% Default | $51.56 |
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