Chest X-ray, 2 views at WellSpan Good Samaritan Hospital. CPT 71046.
What WellSpan Good Samaritan Hospital publishes for this service, straight from its standard-charges file, last updated January 1, 2026.
Outpatient / ER
$322cash price (self-pay)
$403list price
$18.57–$498range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Blue_Cross | Capital_Blue_Performance_PPO | $18.57 |
| Highmark_Wholecare_Gateway_Medicaid | All_Plans | $29.55 |
| Geisinger_Medicaid | All_Plans | $29.55 |
| Health_Partners_Medicaid | All_Other_Plans | $29.55 |
| PA_Health_&_Wellness_Medicaid | All_Plans | $29.55 |
| UPMC_Medicaid | All_Plans | $29.55 |
| Amerihealth_Caritas_Medicaid | All_Plans | $33.57 |
| Aetna_Better_Health_Kids | All_Plans | $80.38 |
| Blue_Cross | Capital_Cares_4_kids | $85.20 |
| Blue_Cross_BlueJourney_Medicare | All_Plans | $86.98 |
| Highmark_Medicare | All_Plans | $87.85 |
| Aetna_Advantra_Medicare | All_Plans | $89.59 |
| Aetna_Medicare | All_Plans | $89.59 |
| Geisinger_Gold_Medicare | All_Plans | $91.33 |
| Devoted_Medicare | All_Plans | $91.33 |
| United_Medicare | ISNP_DSNP_Plans | $91.33 |
| Highmark_Wholecare_Gateway_Medicare | All_Plans | $91.72 |
| Amerihealth_Medicare | All_Plans | $91.76 |
| UPMC_Medicare | UPMC_for_Life_Community_HealthChoices | $91.76 |
| UPMC_Medicare | UPMC_for_Life_Complete_Care | $91.76 |
| Jefferson_Health_Medicare_Advantage | All_Plans | $93.94 |
| PA_Health_&_Wellness_Medicare | All_Plans | $93.94 |
| WellSpan_Capital_Blue_Cross | All_Plans | $109 |
| Blue_Cross | All_Other_Plans | $122 |
| Highmark | Higmark_Healthy_Kids | $135 |
| Health_Partners_Medicaid | Kidz_Partners | $144 |
| United_Medicaid | Community_Plan_For_Kids | $152 |
| Blue_Cross | Capital_Blue_Cross_Healthy_Benefits_PPO | $188 |
| Cigna | All_Plans | $237 |
| Geisinger | All_Plans | $242 |
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