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Chest X-ray, 2 views at Ascension NE Wisconsin - St. Elizabeth Campus (Ascension NE Wisconsin, Inc.). CPT 71046.

What Ascension NE Wisconsin - St. Elizabeth Campus (Ascension NE Wisconsin, Inc.) publishes for this service, straight from its standard-charges file, last updated January 1, 2026.

Outpatient / ER

$184cash price (self-pay)
$322list price
$11.18–$178range insurers pay
Insurance planNegotiated rate
Anthem Blue Connection | 999_anthem Blue Connection Mewi Sewi 20230401$11.18
Anthem HMO POS | 1000_anthem HMO POS Mewi Sewi 20230401$11.18
Anthem Pathways | 946_anthem Pathways Mewi Sewi 20230101$11.18
Anthem PPO | 1001_anthem PPO Mewi Sewi 20230401$11.18
Centivo Nw1 | 892_centivo Nw1 Mewi Sewi 20221001$51.24
Centivo Nw3 | 1013_centivo Nw3 Mewi Sewi 20221001$51.24
Medicare Replacement | 914_medicare Replacement Outpatient Mewi Sewi 2$84.65
Veterans Administration | 916_veterans Administration Outpatient Mewi $84.65
Wellcare | 973_medicare Advantage Wellcare Outpatient 20230101$88.88
Smarthealth | 964_smarthealth Outpatient 20230101$119
Molina Marketplace | 911_molina Marketplace Outpatient Mewi Sewi 20230$178

Inpatient

—cash price (self-pay)
—list price
$84.65–$178range insurers pay
Insurance planNegotiated rate
Medicare Replacement | 959_medicare Replacement Inpatient Mewi Sewi 20$84.65
Veterans Administration | 956_veterans Administration Inpatient Mewi S$84.65
Wellcare | 970_medicare Advantage Wellcare Inpatient 20230512$88.88
Smarthealth | 963_smarthealth Inpatient 20231001$119
Molina Marketplace | 954_molina Marketplace Inpatient Mewi Sewi 202305$178
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All common services at Ascension NE Wisconsin - St. Elizabeth Campus (Ascension NE Wisconsin, Inc.)