Chest X-ray, 2 views at Gundersen TriCounty Hospital and Clinics. CPT 71046.
What Gundersen TriCounty Hospital and Clinics publishes for this service, straight from its standard-charges file, last updated June 27, 2026.
Outpatient / ER
$176cash price (self-pay)
$277list price
$24.82–$446range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Amerigroup | Medicaid HMO | $24.82 |
| Quartz | All Products | $117 |
| Quartz | All Other Self Funded | $122 |
| Anthem | Medicaid | $122 |
| Group Health Eau Claire | Medicaid HMO | $122 |
| Group Health of South Central | Medicaid HMO | $122 |
| Iowa Total Care | Medicaid | $122 |
| Managed Health Service | Managed Medicaid | $122 |
| Quartz | Medicaid_Badgercare | $122 |
| Quartz | Self Funded | $130 |
| Quartz | Level Funded | $134 |
| UCARE | Non-Dually Eligible | $144 |
| UCARE | MSHO/Minnesota Special Needs | $144 |
| UCARE | Dually Eligible | $144 |
| Quartz | Fully Insured | $151 |
| Anthem | Medicare HMO/PPO | $163 |
| Humana | Medicare Advantage | $163 |
| Quartz | Medicare Advantage | $163 |
| UHC | Medicare Advantage | $163 |
| Anthem | PPO | $191 |
| Anthem | HMO/POS | $191 |
| UHC | All Payer Appendix | $199 |
| Cigna | All Products | $214 |
| Alliance | Premier/All Products | $222 |
| Group Health of South Central | All Products | $222 |
| Trilogy | All Products | $222 |
| UCARE | Qualified Health Plan | $222 |
| Aspirus Arise Health | All Products | $230 |
| Allied National | Core Value Programs | $235 |
| Sana | All Products | $238 |
Inpatient
$176cash price (self-pay)
$277list price
$117–$263range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Quartz | All Other Self Funded | $163 |
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All common services at Gundersen TriCounty Hospital and Clinics