Chest X-ray, 2 views at Froedtert Holy Family Memorial Hospital. CPT 71046.
What Froedtert Holy Family Memorial Hospital publishes for this service, straight from its standard-charges file, last updated December 31, 2025.
Outpatient / ER
$134cash price (self-pay)
$244list price
$39.06–$597range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Anthem Blue Cross Blue Shield (Healthlink) | HMO/PPO | $39.06 |
| Medical College of Wisconsin | Employee Plan | $80.52 |
| Anthem Blue Cross Blue Shield | Medicare Advantage | $83.74 |
| Community Care Incorporated | Medicare Advantage | $83.74 |
| Health Partners | Medicare Advantage | $83.74 |
| Humana | Medicare Advantage | $83.74 |
| ICare | Medicare Advantage | $83.74 |
| Molina | Medicare Advantage | $83.74 |
| Network Health Plan | Medicare Advantage | $83.74 |
| Security Health Plan | Medicare Advantage | $83.74 |
| United Healthcare | Medicare Advantage | $83.74 |
| Allwell | Medicare Advantage | $85.42 |
| Molina | Marketplace Plans | $90.44 |
| Centivo | WI 2 Median | $97.60 |
| Centivo | WI 1 Broad | $112 |
| Dean Health Plan | All Plans | $122 |
| Sheboygan Employers Health Network | All Contracted Commercial Plans | $146 |
| Chorus Community Health Plan | Marketplace Plans | $157 |
| Health Partners | All Contracted Commercial Plans | $159 |
| Trilogy | All Contracted Commercial Plans | $161 |
| Cigna | All Contracted Commercial Plans | $176 |
| WPS Health Plan | All Contracted Commercial Plans | $181 |
| Aspirus | Marketplace Plans | $195 |
| HealthEos | All Contracted Commercial Plans | $195 |
| Multiplan/Private Healthcare Systems | All Contracted Commercial Plans | $195 |
| Preferred One | All Contracted Commercial Plans | $195 |
| Security Health Plan | All Contracted Commercial Plans | $195 |
| HealthSmart | All Contracted Commercial Plans | $203 |
| First Health Network | All Contracted Commercial Plans | $215 |
| Health Payment Systems | All Contracted Commercial Plans | $244 |
Inpatient
$134cash price (self-pay)
$244list price
$146–$215range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Sheboygan Employers Health Network | All Contracted Commercial Plans | $146 |
| Trilogy | All Contracted Commercial Plans | $161 |
| Cigna | All Contracted Commercial Plans | $176 |
| Aspirus | Marketplace Plans | $195 |
| HealthEos | All Contracted Commercial Plans | $195 |
| Multiplan/Private Healthcare Systems | All Contracted Commercial Plans | $195 |
| Preferred One | All Contracted Commercial Plans | $195 |
| Security Health Plan | All Contracted Commercial Plans | $195 |
| HealthSmart | All Contracted Commercial Plans | $203 |
| First Health Network | All Contracted Commercial Plans | $215 |
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All common services at Froedtert Holy Family Memorial Hospital