Chest X-ray, 2 views at HSHS St. Nicholas Hospital. CPT 71046.
What HSHS St. Nicholas Hospital publishes for this service, straight from its standard-charges file, last updated March 24, 2026.
Outpatient / ER
$276cash price (self-pay)
$418list price
$24.82–$418range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Anthem | Antehm Medicaid | $24.82 |
| Community Care Family Care | Community Care Family Care Medicaid Manag | $24.82 |
| Continuus Medicaid Managed | Continuus Medicaid Managed | $24.82 |
| Managed Health Services | Managed Health Services Medicaid | $24.82 |
| Meridian Health Plan | Meridian HMO Mcd | $24.82 |
| Molina Healthcare | Molina Medicaid | $26.31 |
| Humana | All Commercial Humana Hpn Choicecare | $45.28 |
| Humana | Humana Choice Care HMO | $45.28 |
| Humana | Humana Natiional POS HMO | $45.28 |
| Aetna | Aetna Medicare | $85.11 |
| Anthem | Anthem Medicare Advantage HMO | $85.11 |
| Humana | Humana Medicare Advantage | $85.11 |
| Medica | Medica Medicare Advantage | $85.11 |
| Medicare Managed | Managed Medicare No Sequestration | $85.11 |
| Molina Healthcare | Molina Medicare | $85.11 |
| Anthem | Anthem POS/HMO | $94.65 |
| Anthem | Anthem PPO | $94.65 |
| Naphcare | All Commerical Naphcare | $191 |
| Hshs Employees | Hshs Employees | $203 |
| Molina Healthcare Of Wi | All Commerical Molina Marketplace | $209 |
| Arise Health Plan | All Commercial Arise Health Plan | $251 |
| Cigna | All Commercial Cigna | $293 |
| Interplan | All Commercial Interplan Health Group | $293 |
| Health Eos | All Commercial Health Eos | $314 |
| Healthsmart | All Commercial Healthsmart | $314 |
| Network Health Plan | All Commerical Network Health Plan | $314 |
| Health Care Alliance | The Alliance | $351 |
| Multiplan/Phcs | All Commercial Multiplan | $351 |
| Choicecare | All Commercial Choice Care | $355 |
| Humana | Humana Choice Care PPO | $355 |
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