Chest X-ray, 2 views at Intermountain Health Primary Children's Hospital. CPT 71046.
What Intermountain Health Primary Children's Hospital publishes for this service, straight from its standard-charges file, last updated August 5, 2026.
Outpatient / ER
$182cash price (self-pay)
$243list price
$10.26–$213range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| SelectHealth | Medicaid | $21.95 |
| American Health | Medicare Adv UT HMO I-SNP | $21.95 |
| Health Plan of Nevada | Medicaid | $21.95 |
| Healthy U | Medicaid | $21.95 |
| Molina | Medicaid | $21.95 |
| Molina | Medicare Advantage | $21.95 |
| Molina | Medicare Choice Care HMO | $21.95 |
| Molina | Medicare Complete Care HMO SNP | $21.95 |
| Southwest Behavioral Health | Behavioral Health | $21.95 |
| UHC | Medicare Advantage | $21.95 |
| Donor Connect | Other | $96.55 |
| Aetna | Standard | $204 |
| BYU Athletics | Commercial | $204 |
| Campbell Scientific | Commercial | $204 |
| Cigna | HMO | $204 |
| Cigna | Open Access Flex | $204 |
| Cigna | PPO/EPO | $204 |
| Cigna | Utah Connect/Local Plus | $204 |
| Deseret Mutual | All Other | $204 |
| EMI Health | Mint | $204 |
| EMI Health | Network Care | $204 |
| EMI | Commercial | $204 |
| First Choice of the Midwest | Commercial | $204 |
| First Choice | Commercial | $204 |
| Franklin County | Commercial | $204 |
| Global Excel | Commercial | $204 |
| Health Utah | Commercial | $204 |
| Humana | Commercial | $204 |
| Hygeia Corporation | Commercial | $204 |
| Juniper Systems | Commercial | $204 |
Inpatient
$182cash price (self-pay)
$243list price
$87.34–$213range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Donor Connect | Other | $87.34 |
| American Health | Medicare Adv UT HMO I-SNP | $138 |
| Molina | Medicare Advantage | $146 |
| Molina | Medicare Choice Care HMO | $146 |
| Molina | Medicare Complete Care HMO SNP | $146 |
| AWH Connected | Connected Utah | $172 |
| Aetna | Connected | $172 |
| Aetna | Extended | $172 |
| Aetna | Standard | $172 |
| BYU Athletics | Commercial | $172 |
| Campbell Scientific | Commercial | $172 |
| Cigna | HMO | $172 |
| Cigna | Open Access Flex | $172 |
| Cigna | PPO/EPO | $172 |
| Cigna | Utah Connect/Local Plus | $172 |
| Deseret Mutual | All Other | $172 |
| EMI Health | Mint | $172 |
| EMI Health | Network Care | $172 |
| EMI | Commercial | $172 |
| First Choice of the Midwest | Commercial | $172 |
| First Choice | Commercial | $172 |
| Franklin County | Commercial | $172 |
| Global Excel | Commercial | $172 |
| Health Utah | Commercial | $172 |
| Humana | Commercial | $172 |
| Hygeia Corporation | Commercial | $172 |
| Juniper Systems | Commercial | $172 |
| LW Miller | Commercial | $172 |
| Managed Care Admin | Commercial | $172 |
| MedCare International | Commercial | $172 |
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All common services at Intermountain Health Primary Children's Hospital