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How much does an X-ray cost?

What an X-ray costs depends on who is paying. Without insurance, the figure to use is a hospital's cash price, and the hospitals below publish theirs. For people on Medicare, what Medicare pays for a chest X-ray, two views in 2026 averages $121 in total at a hospital outpatient department, of which the patient pays about $23, or $55 at an ambulatory surgical center with the patient paying about $10, according to the Centers for Medicare & Medicaid Services; that is the government's rate for Medicare patients, and a private plan or a cash payer is charged its own price. There is no national figure for what private insurance pays: FAIR Health's consumer cost lookup, the nearest thing to one, gives estimates only for a ZIP code you enter, so it is not quoted here. An X-ray is billed by how many pictures are taken, and almost nobody tells you that before you have it. At Boston Medical Center a chest X-ray is filed at $414.00 for one view, $551.00 for two, $688.00 for three and $863.00 for four or more, with cash prices of $186.30, $247.95, $309.60 and $388.35. Franklin Memorial Hospital files the same four steps at $183.25, $253.35, $337.05 and $374.70, and The University of Chicago Medical Center at $345.00, $681.00, $765.00 and $849.00. The same happens on a knee: one or two views is $586.00 at Boston Medical Center and three views is $705.00. So the useful question before an X-ray is not which hospital but how many views are planned, and whether the hospital files a cash price at all. One of these three does.

$414.00 to $863.00

a chest X-ray at one hospital, from one view to four or more, on 13 March 2026

Boston Medical Center , Attested by Christopher Abate, file last_updated_on 13 March 2026. United States · US dollars. Checked 25 September 2026.

$186.30 cash

the same hospital, single-view chest X-ray, CPT 71045

Boston Medical Center , Attested by Christopher Abate, file last_updated_on 13 March 2026. United States · US dollars. Checked 25 September 2026.

$183.25 to $374.70

the same four chest codes at a second hospital, which files no cash discount

Franklin Memorial Hospital , Attested by Kenneth Olsen, file last_updated_on 9 September 2025. United States · US dollars. Checked 25 September 2026.

$121

what Medicare pays in total, Medicare patients only, a chest X-ray, two views, hospital outpatient, 2026

Centers for Medicare & Medicaid Services , no date shown on the page; it gives national averages based on Medicare's 2026 payments and copayments. United States · US dollars. Checked 12 October 2026.

$55

what Medicare pays in total, Medicare patients only, a chest X-ray, two views, ambulatory surgical center, 2026

Centers for Medicare & Medicaid Services , no date shown on the page; it gives national averages based on Medicare's 2026 payments and copayments. United States · US dollars. Checked 12 October 2026.

Cost breakdown

Each table below comes from one source, named underneath it, with the date that source last revised the figures. Everything is a United States figure in USD.

A chest X-ray, priced by the number of views, at all three hospitals

CPTViewsBoston Medical CenterFranklin MemorialUniversity of Chicago
71045One view$414.00$183.25$345.00
71046Two views$551.00$253.35$681.00
71047Three views$688.00$337.05$765.00
71048Four or more views$863.00$374.70$849.00

These are the gross charges each hospital files. Every one of the three prices a chest X-ray in the same four steps, which is the clearest thing on this page: the body part chooses the code family and the number of views chooses the price inside it. The three columns come from three separate filings and are set side by side here because they are the same four codes, not because they are the same measurement: Boston Medical Center files no billing class at all, while the other two file these as facility charges.

Boston Medical Center , Attested by Christopher Abate, file last_updated_on 13 March 2026. United States · US dollars. Checked 25 September 2026.

Boston Medical Center, by CPT code, from its file last updated 13 March 2026

CPTDescription, as the file prints itGross chargeCash price
71045HC Chg Radiologic Exam Chest Single View$414.00$186.30
71046HC Chg Radiologic Exam Chest 2 Views$551.00$247.95
71047HC Xray Chest 3 Views$688.00$309.60
71048HC Xray Chest 4+ Views$863.00$388.35
73560HC Chg Radiologic Examination Knee 1/2 Views$586.00$263.70
73562HC Chg Radiologic Examination Knee 3 Views$705.00$317.25
73610HC Chg Radex Ankle Complete Minimum 3 Views$503.00$226.35
73630HC Chg Radex Foot Complete Minimum 3 Views$585.00$263.25
73110HC Chg Radex Wrist Complete Minimum 3 Views$651.00$292.95
73130HC Chg Radex Hand Minimum 3 Views$538.00$242.10
73030HC Chg Radex Shoulder Complete Minimum 2 Views$569.00$256.05
73090HC Chg Radex Forearm 2 Views$519.00$233.55
72110HC Chg Radex Spine Lumbosacral Minimum 4 Views$777.00$349.65
70140HC Chg Radex Facial Bones < 3 Views$558.00$251.10

Fourteen codes, fourteen prices, one each. This is the only one of the three hospitals here that files a cash price below its list price, and on the single-view chest code that is $186.30 against $414.00. The knee pair is the views rule inside one joint: one or two views is a different code and a different price from three.

Boston Medical Center , Attested by Christopher Abate, file last_updated_on 13 March 2026. United States · US dollars. Checked 25 September 2026.

Franklin Memorial Hospital, facility charges, from its file last updated 9 September 2025

CPTDescription, as the file prints itFacility grossFacility cash
71045HC X-RAY EXAM CHEST 1 VIEW$183.25$183.25
71046HC X-RAY EXAM CHEST 2 VIEWS$253.35$253.35
71047HC X-RAY EXAM CHEST 3 VIEWS$337.05$337.05
71048HC X-RAY EXAM CHEST 4+ VIEWS$374.70$374.70
73560HC XRAY EXAM OF KNEE 1 OR 2 VIEWS$235.85$235.85
73562HC XRAY EXAM OF KNEE 3 VIEWS$295.20$295.20
73610HC XRAY EXAM OF ANKLE MIN 3 VIEWS$262.90$262.90
73630HC XRAY EXAM OF FOOT MIN 3 VIEWS$260.15$260.15
73110HC XRAY EXAM OF WRIST MIN 3 VIEWS$300.55$300.55
73130HC XRAY HAND MIN 3 VIEWS$262.90$262.90
73030HC XRAY EXAM OF SHOULDER MIN 2 VIEWS$248.05$248.05
73090HC XRAY EXAM OF FOREARM 2 VIEWS$229.15$229.15
72110HC XRAY EXAM L-2 SPINE 4/> VIEWS$461.00$461.00
70140HC XRAY EXAM OF FACIAL BONES <3 VIEWS$261.50$261.50

Every row prints the same figure twice, which is this hospital saying a cash payer is charged the list price. It is the cheapest of the three on almost every code here, and a single-view chest X-ray at $183.25 is the lowest filed figure on this page. A rural hospital in Farmington, Maine is a different business from an academic centre, and this is what that looks like in a price file.

Franklin Memorial Hospital , Attested by Kenneth Olsen, file last_updated_on 9 September 2025. United States · US dollars. Checked 25 September 2026.

The University of Chicago Medical Center, facility charges, from its file last updated 1 April 2026

CPTDescription, as the file prints itGross chargeCash price
71045Hc X-Ray Exam Chest 1 View$345.00$345.00
71046Hc X-Ray Exam Chest 2 Views$681.00$681.00
71047Hc X-Ray Exam Chest 3 Views$765.00$765.00
71048Hc X-Ray Exam Chest 4+ Views$849.00$849.00
73560Hc Radiologic Examination, Knee; 1 Or 2 Views$439.00$439.00
73562Hc Radiologic Examination, Knee; 3 Views$550.00$550.00
73610Hc Radiologic Examination, Ankle; Complete, Minimum 3 Views$562.00$562.00
73630Hc Radiologic Examination, Foot; Complete, Minimum 3 Views$570.00$570.00
73110Hc Radiologic Examination, Wrist; Complete, Minimum 3 Views$555.00$555.00
73130Hc Radiologic Examination, Hand; Minimum Of 3 Views$552.00$552.00
73030Hc Radiologic Examination, Shoulder; Complete, Minimum 2 Views$521.00$521.00
72110Hc Radiologic Examination, Spine, Lumbosacral; Minimum 4 Views$721.00$721.00

The cash price is the list price on every row. The jump from one chest view to two is the largest single step on this page, $345.00 to $681.00, and it is a step the patient does not choose and is rarely told about. This is the same file that publishes six prices for one colonoscopy code, and one price for each of these twelve.

The University of Chicago Medical Center , Attested by Chris Allen, file last_updated_on 1 April 2026. United States · US dollars. Checked 23 September 2026.

Where else an X-ray gets done, and why those prices are not here

WhereWhat that means for a published price
An urgent care clinicTwo urgent care chains hold the first page of results for this search. They are not hospitals, so no federal rule requires them to publish anything, and their prices can be lower and are not checkable the same way
A free-standing imaging centreSame position: often cheaper, often a bundled self-pay offer, and under no publication obligation
A hospital emergency departmentThe X-ray is one line on a much larger bill, and the facility fee for the visit is separate from the codes on this page
A hospital outpatient departmentWhat this page measures. Three named hospitals, their own filings, the code and the date each attested to

CMS requires hospitals to publish these files and names imaging among the shoppable services. It requires nothing of an urgent care clinic or an imaging centre, which is why a cheaper number found elsewhere is not a contradiction of the figures above and cannot be verified the same way.

Centers for Medicare & Medicaid Services , page last modified 10 September 2024. United States · US dollars. Checked 9 October 2026. Still current: the CMS page for hospitals, last modified 10 March 2026, sets out the same rule, one machine-readable file of gross charges, discounted cash prices and payer-specific negotiated charges, and at least 300 shoppable services. The examples named here, imaging and a colonoscopy, appear only on this 2024 page.

What Medicare pays for X-ray, 2026, for Medicare patients only: the total and the patient's share

ProcedureCodeHospital outpatient totalPatient paysSurgical center totalPatient pays
Chest, two views71046$121$23$55$10

The total is the facility fee plus the doctor's fee. The patient share is Medicare's national average after Part B pays; a supplemental policy may cover it. Private insurers and cash prices are set separately.

Centers for Medicare & Medicaid Services , no date shown on the page; it gives national averages based on Medicare's 2026 payments and copayments. United States · US dollars. Checked 12 October 2026.

A chest X-ray, priced by the number of views, at all three hospitals, drawn to scale

A bar for each row of the table above, 4 of them, drawn to the same scale so the spread is visible at a glance. The figure beside each bar is the one the table prints.

A bar for each row of the table above, 4 of them, drawn to the same scale so the spread is visible at a glance. The figure beside each bar is the one the table prints.

71045 $414.00
71046 $551.00
71047 $688.00
71048 $863.00

Drawn to scale from the figures above. Boston Medical Center, file last_updated_on 13 March 2026. Pricing and estimates: standard charges machine-readable file.

What changes the price

How many views are taken
The single biggest factor and the one nobody mentions. At Boston Medical Center a chest X-ray runs $414.00, $551.00, $688.00 and $863.00 for one, two, three and four or more views. At The University of Chicago Medical Center the same four are $345.00, $681.00, $765.00 and $849.00.
Which body part
It chooses the code family. At Boston Medical Center a lumbosacral spine series is $777.00 and a forearm is $519.00, on the same list on the same day.
Whether anyone is paying on your behalf
Boston Medical Center files a cash price below its list price on every X-ray row, $186.30 against $414.00 on the single-view chest code. Franklin Memorial Hospital and The University of Chicago Medical Center file the same figure in both columns.
Which hospital, and the gap is wide
A single-view chest X-ray is filed at $183.25 by Franklin Memorial Hospital, $345.00 by The University of Chicago Medical Center and $414.00 by Boston Medical Center, whose cash price for it is $186.30.
Whether you are in a hospital at all
Two urgent care chains hold page one for this search. They are not hospitals and are under no rule requiring them to publish a price, so their figure can be lower and cannot be checked against a filing.
Whether the radiologist is in the number
These are facility or unlabelled charges. Somebody reads the image and that reading is usually its own charge, so a quote for the X-ray may be one of two lines.

How to pay less

Ask how many views are planned
It is the question this page exists to prompt. The difference between one chest view and four is $414.00 against $863.00 at Boston Medical Center and $345.00 against $849.00 at The University of Chicago Medical Center.
Ask for the cash price by name
Boston Medical Center files $186.30 for a single-view chest X-ray against a gross charge of $414.00. The other two hospitals here file no discount at all, so it is worth asking rather than assuming.
Ask whether an urgent care clinic can do it
Much X-ray work is done outside hospitals, and the two urgent care chains on the first page of results for this search advertise exactly that. Their prices are not published under any rule, so ask them directly.
Ask whether the reading is billed separately
Every figure here is the facility or is unlabelled, and none includes the radiologist. A quote that covers the machine may not cover the person looking at the picture.
Compare the same code between hospitals
A chest X-ray is four different codes depending on views, so comparing "an X-ray" between two providers compares nothing until you know which of the four.

Questions

How much does an X-ray cost with Medicare?

Medicare's national average total for a chest X-ray, two views in 2026 is $121 in a hospital outpatient department, with the patient paying $23 on average, or $55 in an ambulatory surgical center, with the patient paying $10, according to the Centers for Medicare & Medicaid Services. With a private plan, your cost depends on its negotiated rate and your deductible; without insurance, ask for the cash price, which the hospital files on this page publish.

How much does an X-ray cost?

It depends on how many views are taken. At Boston Medical Center a chest X-ray is filed at $414.00 for one view and $863.00 for four or more, with cash prices of $186.30 and $388.35. Franklin Memorial Hospital files $183.25 and $374.70 for the same two, and The University of Chicago Medical Center $345.00 and $849.00.

Why does the number of views change the price?

Because each is a different CPT code. A chest X-ray is 71045, 71046, 71047 or 71048 for one, two, three or four-plus views, and every hospital on this page files a different price against each.

How much is an X-ray without insurance?

Where a hospital files a discounted cash price, that is the answer: $186.30 for a single-view chest X-ray at Boston Medical Center. Franklin Memorial Hospital and The University of Chicago Medical Center file the same figure for cash as for the list price.

Is an X-ray cheaper at urgent care?

Often, and two urgent care chains hold the first page of results for this search. They are not hospitals, so no rule requires them to publish a price, which means it can be lower and cannot be checked against a filing the way the figures here can.

Does the price include the radiologist?

No. Every figure here is a facility charge or an unlabelled one, and the reading of the image is usually charged separately.

Which body parts are on this page?

Chest at one to four-plus views, knee at one or two and at three, plus ankle, foot, wrist, hand, shoulder, forearm, lumbosacral spine and facial bones, each at the code and view count the file names.

Why does a hospital have to publish this?

The Centers for Medicare & Medicaid Services requires every hospital operating in the United States to publish a comprehensive machine-readable file of all items and services and a consumer-friendly display of shoppable services, names imaging among those services, states that it audits a sample of hospitals and investigates complaints, and states that hospitals may face civil monetary penalties for noncompliance.

Where these figures come from

Every figure here is published by the hospital named beside it, in US dollars, in the United States, in its own machine-readable standard charges file under 45 CFR 180.50, and each file carries the attestation that the information encoded is true, accurate and complete as of the date in the file. The dates are the ones the files give themselves: 13 March 2026 for Boston Medical Center, attested by Christopher Abate, 9 September 2025 for Franklin Memorial Hospital, attested by Kenneth Olsen, and 1 April 2026 for The University of Chicago Medical Center, attested by Chris Allen. The Boston Medical Center and Franklin Memorial files were downloaded again on 25 September 2026; the University of Chicago file is the copy read on 23 September 2026 and carries the same last_updated_on. The Centers for Medicare & Medicaid Services pages linked below were read on 23 September 2026, and the two on what a hospital must publish again on 9 October 2026. BEFORE ANY CODE WAS QUOTED THE DISTINCT PUBLISHED PRICES FOR IT WERE COUNTED PER CODE AND PER BILLING CLASS, and every code at every hospital here carries exactly one. Boston Medical Center publishes no billing_class column, so its rows are labelled unlabelled rather than assumed to be facility charges; the other two are facility rows. None of these figures includes the radiologist who reads the image. The first table sets three hospitals side by side because they are the same four codes, and the three columns remain three separate filings rather than one measurement. Nothing here is averaged, turned into a ratio or restated as a typical cost.

  • Hospital Price Transparency

    Centers for Medicare & Medicaid Services · page last modified 16 September 2026

    The rule itself. CMS states that starting 1 January 2021 each hospital operating in the United States is required to publish pricing information online in two ways, as a comprehensive machine-readable file with all items and services and as a display of shoppable services in a consumer-friendly format, that CMS audits a sample of hospitals and investigates complaints, and that hospitals may face civil monetary penalties for noncompliance. Cited for the obligation and the enforcement, never for a price.

  • Hospital Price Transparency: Consumers

    Centers for Medicare & Medicaid Services · page last modified 10 September 2024

    CMS's own description of what a hospital must make public: standard charges including the rates they negotiate with insurance companies and the discounted price a hospital is willing to accept directly from a patient if paid in cash. Cited for what the files are supposed to contain, which is how this page can say what a given file leaves out.

  • Hospital Price Transparency: Hospitals

    Centers for Medicare & Medicaid Services · page last modified 10 March 2026

    The CMS page setting out what a hospital must publish: a single machine-readable file of gross charges, discounted cash prices, payer-specific negotiated charges and de-identified minimum and maximum negotiated charges for all items and services, and a display of at least 300 shoppable services a consumer can schedule in advance.

  • Pricing and estimates: standard charges machine-readable file

    Boston Medical Center · Attested by Christopher Abate · file last_updated_on 13 March 2026

    The hospital's own machine-readable file, 043314093_BostonMedicalCenter_standardcharges.csv, schema version 3.0.0, carrying the attestation required by 45 CFR 180.50 that the information encoded is true, accurate and complete as of the date in the file. Unlike its inpatient rows, its imaging rows carry a gross charge, a discounted cash price and a rate for each named health plan, which is why this page can answer the question about paying without insurance from a published figure rather than an estimate.

  • Standard charges machine-readable file

    Franklin Memorial Hospital · Attested by Kenneth Olsen · file last_updated_on 9 September 2025

    The hospital's own machine-readable file, 010238552-1922791417_mainehealth_standardcharges.csv, schema version 3.0.0, published by MaineHealth for its Franklin Memorial Hospital location in Farmington, Maine, and carrying the same attestation under 45 CFR 180.50. It is the oldest of the three files quoted here and is said rather than smoothed. On every imaging row its discounted cash price is identical to its gross charge.

  • Procedure Price Lookup for Outpatient Services

    Centers for Medicare & Medicaid Services · no date shown on the page; it gives national averages based on Medicare's 2026 payments and copayments

    Medicare's own national averages for an outpatient procedure, split by hospital outpatient department and ambulatory surgical center. For each it gives what Medicare pays, what the patient pays on average, and the total of the facility fee and the doctor's fee. Medicare rates are set by the government, so they work as a national benchmark; a private plan or a cash payer is charged its own price. Figures were read from the JSON the lookup page loads, saved in docs/research/cms-ppl-2026-10-12.json. Tests the tool does not cover, such as an EKG, an echocardiogram, a mammogram or an emergency visit, are not priced from it.

  • Price transparency: standard charges machine-readable file

    The University of Chicago Medical Center · Attested by Chris Allen · file last_updated_on 1 April 2026

    The hospital's own machine-readable file, 363488183_the-university-of-chicago-medical-center_standardcharges.json, schema version 3.0.0, carrying the attestation required by 45 CFR 180.50 that the information encoded is true, accurate and complete as of the date in the file. At MS-DRG level it publishes no gross charge and no discounted cash price, and instead names each health plan and the rate agreed with it, alongside a minimum and a maximum.

Sources on this page checked between 23 September and 12 October 2026. How we source prices.

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