Chest X-ray, 2 views at Intermountain Health Spanish Fork Hospital. CPT 71046.
What Intermountain Health Spanish Fork Hospital publishes for this service, straight from its standard-charges file, last updated August 5, 2026.
Outpatient / ER
$358cash price (self-pay)
$477list price
$10.26–$429range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Health Plan of Nevada | Medicaid | $21.95 |
| SelectHealth | Med Individual ACA | $21.95 |
| SelectHealth | Medicaid | $21.95 |
| SelectHealth | Signature Individual ACA | $21.95 |
| SelectHealth | Value Individual ACA | $21.95 |
| Aetna | Medicare Adv HMO | $21.95 |
| Aetna | Medicare Adv PPO | $21.95 |
| American Health | Medicare Adv UT HMO I-SNP | $21.95 |
| Health Partners of Nevada | Medicare Advantage | $21.95 |
| Healthy U | Medicaid | $21.95 |
| Humana | Medicare Choice PPO | $21.95 |
| Molina | Medicare Advantage | $21.95 |
| Molina | Medicare Complete Care HMO SNP | $21.95 |
| Regence BCBS | MedAdvantage PPO | $21.95 |
| SelectHealth | Medicare Advantage | $21.95 |
| UHC | Medicare Advantage | $21.95 |
| Intermountain Caregiver Plan | Share Network | $172 |
| SelectHealth | FEHBP | $172 |
| SelectHealth | SelectShare | $172 |
| SelectHealth | SelectValue | $172 |
| Intermountain Caregiver Plan | CHP | $186 |
| Intermountain Caregiver Plan | Med Network | $186 |
| SelectHealth | SelectMed/CHIP | $186 |
| SelectHealth | SelectCare | $192 |
| EMI | Commercial | $227 |
| Deseret Mutual | Commercial | $236 |
| Deseret Mutual | Connected Utah | $236 |
| Regence BCBS | BlueOption | $246 |
| AWH Connected | Connected Utah | $252 |
| EMI Health | Mint | $264 |
Inpatient
$358cash price (self-pay)
$477list price
$31.01–$429range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Donor Connect | Other | $31.01 |
| SelectHealth | Med Individual ACA | $142 |
| Health Plan of Nevada | Medicaid | $143 |
| Intermountain Caregiver Plan | Share Network | $202 |
| SelectHealth | FEHBP | $202 |
| Intermountain Caregiver Plan | CHP | $230 |
| Intermountain Caregiver Plan | Med Network | $230 |
| EMI | Commercial | $258 |
| Deseret Mutual | Commercial | $274 |
| Deseret Mutual | Connected Utah | $274 |
| Regence BCBS | BlueOption | $295 |
| Cigna | Open Access Flex | $301 |
| AWH Connected | Connected Utah | $303 |
| EMI Health | Mint | $331 |
| EMI Health | Network Care | $331 |
| PEHP | Advantage State | $332 |
| BYU Risk Management | Workers Comp | $334 |
| Corporation of the President | Workers Comp | $334 |
| Regence BCBS | High Performance | $334 |
| Regence BCBS | FEHBP | $336 |
| PEHP | Advantage Non-State | $339 |
| BYU Athletics | Commercial | $344 |
| Campbell Scientific | Commercial | $344 |
| CorVel Corporation | Workers Comp | $344 |
| Franklin County | Commercial | $344 |
| Juniper Systems | Commercial | $344 |
| LW Miller | Commercial | $344 |
| Injury Care of Nevada | Workers Comp | $358 |
| Regence BCBS | Traditional | $363 |
| Managed Care Admin | Commercial | $372 |
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All common services at Intermountain Health Spanish Fork Hospital