Clear Hospital Costs

Chest X-ray Cost in San Antonio, TX

This page displays published hospital pricing data for HCPCS code 71046 across metro area facilities, sourced from CMS-mandated transparency files that hospitals must publish annually. The facility fee covers hospital charges for radiology room usage, imaging equipment, positioning materials, digital technology, and technical staff who operate equipment and assist patients. HCPCS code 71046 represents the specific billing code hospitals use to charge for this service through insurance claims and patient billing. These transparency requirements provide patients with upfront pricing information before receiving care.

Data last updated: 2026-01-12

Scope note: These are hospital facility fees only. Standalone imaging centers (not hospitals) often charge significantly less for outpatient imaging but are not covered by the CMS Hospital Price Transparency Rule, so they are not included in this data. We currently track only hospital-published prices.

Chest X-ray, 2 Views (HCPCS 71046)

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Hospital Cash Price
CHRISTUS Children's $182.82 Schedule →
CHRISTUS Santa Rosa Alamo $425.7 Schedule →
CHRISTUS Santa Rosa Medic $151.65 Schedule →
CHRISTUS Santa Rosa New B $425.7 Schedule →
CHRISTUS Santa Rosa San M $425.7 Schedule →
CHRISTUS Santa Rosa Westo $425.7 Schedule →
Methodist Hospital * $1,254.67 * Schedule →
Methodist Hospital Atasco * $1,254.67 * Schedule →
Methodist Hospital Hill C * $1,254.67 * Schedule →
Methodist Hospital Landma * $1,254.67 * Schedule →
Methodist Hospital Westov * $1,254.67 * Schedule →
Methodist Specialty and T * $1,254.67 * Schedule →
Methodist Stone Oak Hospi * $1,254.67 * Schedule →
Methodist Texsan Hospital * $1,254.67 * Schedule →
Metropolitan Methodist Ho * $1,254.67 * Schedule →
Northeast Methodist Hospi * $1,254.67 * Schedule →
* Hospitals marked with * publish cash prices equal to their gross charges, meaning no separate self-pay discount appears in their transparency file. The insured rates shown are negotiated rates between the hospital and specific insurance plans. Uninsured patients may be able to negotiate lower rates by contacting the hospital directly.

What These Prices Mean

Understanding the price columns: The gross charge represents each hospital's standard listed price before any discounts. Cash prices show what uninsured patients pay upfront. At CHRISTUS facilities, cash prices range from $151.65 to $425.70, representing 33-45% of their gross charges. For instance, CHRISTUS Santa Rosa Medical Center offers the largest percentage discount with cash at 45% of its $337 gross charge, resulting in $151.65. Methodist facilities charge $1,254.67 cash, which equals 100% of their gross charge, meaning no cash discount. The insured range shows negotiated rates with insurance companies, spanning $28.74 to $1,225.50 across all facilities. Patients with high-deductible plans who have not met their deductible pay these negotiated rates. Code coverage details: HCPCS code 71046 specifically covers a two-view chest X-ray, which includes both front-to-back (posteroanterior) and side (lateral) images of the chest, providing comprehensive visualization from multiple angles for thorough radiological examination.

Why Chest X-ray Prices Vary

Hospital pricing structures: Gross charges vary dramatically from $337 at CHRISTUS Santa Rosa Medical Center to $1,290 at most other CHRISTUS locations and $1,254.67 at Methodist facilities. However, the cash price gap narrows significantly due to different discount strategies. CHRISTUS facilities offer substantial cash discounts of 55-67% off gross charges, while Methodist facilities offer no cash discount. This results in cash prices ranging from $151.65 to $1,254.67, an 8x difference compared to the 4x difference in gross charges. Facility type and alternatives: The pricing differences reflect varying operational models and market positioning among hospital systems. Methodist facilities maintain uniform pricing across their network with no cash discounts, while CHRISTUS facilities employ tiered gross pricing with significant cash reductions. Outpatient imaging centers and freestanding radiology facilities not included in this hospital data may offer different pricing structures entirely, often with lower overhead costs than full-service hospitals.
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Paying cash? Health insurance could lower your Chest X-ray cost.

Published cash prices on this page range from $151.65 to $425.7. Insurers on this page have negotiated rates starting from $33.75, many times lower than cash prices at the same hospitals. If you are uninsured, a marketplace health plan could reduce your out-of-pocket cost for this procedure.

Compare Health Insurance Plans → Get Free Plan Estimate →

Links go to Healthcare.gov, the official federal health insurance marketplace. We are not affiliated with Healthcare.gov or any insurance provider. This is not a recommendation for any specific plan.

Compare Insurer Rates for Chest X-ray in San Antonio

How much does each insurance company pay for chest x-ray at San Antonio hospitals?

Insurer Lowest Rate Hospitals
UnitedHealthcare $28.74 16
Amerigroup $33.75 12
Community First Health Plans $33.75 16
Molina Healthcare $33.75 13
Aetna $36.45 16
Humana $42.19 13
Superior Health Plan $62.73 14
Blue Cross Blue Shield of Texas $71.76 16

Rates shown are the lowest and highest negotiated rates each insurer has published across San Antonio hospitals for this procedure. Your actual cost depends on your plan's deductible, copay, and coinsurance.

What Insurers Actually Pay

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Published negotiated rates for Chest X-ray, 2 Views (HCPCS 71046) at Methodist Hospital, outpatient facility fee:

Chest X-ray, 2 Views (71046), Methodist Hospital Payer Rates

Insurance Payer Plan Type Negotiated Rate
United MCD $33.75
United MCD $33.75
Amerigroup CHIP $33.75
Amerigroup MCD $33.75
United MCD $33.75
Amerigroup CHIP $33.75
Amerigroup MCD $33.75
United MCD $33.75
Amerigroup CHIP $33.75
Amerigroup MCD $33.75
United MCD $33.75
United MCD $33.75
Amerigroup CHIP $33.75
Amerigroup MCD $33.75
United MCD $33.75
United MCD $33.75
Amerigroup CHIP $33.75
Amerigroup MCD $33.75
United MCD $33.75
Amerigroup CHIP $33.75
Amerigroup MCD $33.75
United MCD $33.75
Amerigroup CHIP $33.75
Amerigroup MCD $33.75
United MCD $33.75
United MCD $33.75
Amerigroup CHIP $33.75
Amerigroup MCD $33.75
United MCD $33.75
Amerigroup CHIP $33.75
Amerigroup MCD $33.75
United MCD $33.75
Amerigroup CHIP $33.75
Amerigroup MCD $33.75
United MCD $33.75
United MCD $33.75
Amerigroup CHIP $33.75
Amerigroup MCD $33.75
United MCD $33.75
Amerigroup CHIP $33.75
Amerigroup MCD $33.75
United MCD $33.75
Amerigroup CHIP $33.75
Amerigroup MCD $33.75
United MCD $33.75
United MCD $33.75
Amerigroup CHIP $33.75
Amerigroup MCD $33.75
United MCD $33.75
Amerigroup CHIP $33.75
Amerigroup MCD $33.75
United MCD $33.75
Amerigroup CHIP $33.75
Amerigroup MCD $33.75
United MCD $33.75
Amerigroup CHIP $33.75
Amerigroup MCD $33.75
United MCD $33.75
United MCD $33.75
Amerigroup CHIP $33.75
Amerigroup MCD $33.75
United MCD $33.75
Amerigroup CHIP $33.75
Amerigroup MCD $33.75
United MCD $33.75
Amerigroup CHIP $33.75
Amerigroup MCD $33.75
United MCD $33.75
Amerigroup CHIP $33.75
Amerigroup MCD $33.75
United MCD $33.75
Amerigroup CHIP $33.75
Amerigroup MCD $33.75
United MCD $33.75
United MCD $33.75
Amerigroup CHIP $33.75
Amerigroup MCD $33.75
United MCD $33.75
Amerigroup CHIP $33.75
Amerigroup MCD $33.75
United MCD $33.75
Amerigroup CHIP $33.75
Amerigroup MCD $33.75
United MCD $33.75
United MCD $33.75
United MCD $33.75
Amerigroup CHIP $33.75
Amerigroup MCD $33.75
United MCD $33.75
Amerigroup CHIP $33.75
Amerigroup MCD $33.75
United MCD $33.75
United MCD $33.75
Amerigroup CHIP $33.75
Amerigroup MCD $33.75
United MCD $33.75
Community First Health Plans CHIP $33.75
Community First Health Plans CHIPPerinate $33.75
Community First Health Plans MCDSTAR $33.75
USA Managed Care CHIP CHIP $33.75
Amerigroup CHIP $33.75
Amerigroup MCD $33.75
United MCD $33.75
Amerigroup CHIP $33.75
Amerigroup MCD $33.75
United MCD $33.75
Community First Health Plans MCDSTARKIDS $34.42
Community First Health Plans STARPLUS $34.42
Aetna Better Health CHIP $36.45
Aetna Better Health CHIPEPO $36.45
Aetna Better Health CHIPPerinate $36.45
Aetna Better Health CHPFC $36.45
Aetna Better Health STAR $36.45
Aetna Better Health STAR+PLUS $36.45
Aetna Better Health STARKids $36.45
Molina Healthcare CHIP $37.13
Molina Healthcare MCDSTAR $37.13
Molina Healthcare STAR+PLUS $37.13
Molina Healthcare STARKIDS $37.13
Humana MGMCD $42.19
Superior Health CHIP $62.73
Superior Health CHPFC $62.73
Superior Health STAR $62.73
Superior Health STARKids $62.73
Superior Health STARPLUS $62.73
Superior Health CHIP $62.73
Superior Health CHPFC $62.73
Superior Health STAR $62.73
Superior Health STARKids $62.73
Superior Health STARPLUS $62.73
Aetna QHPHIX $84.01
Aetna NarrowNetwork $116.97
Aetna NewBusinessRates $132.78
Aetna CommercialBaseNetwork $135.25
BCBS MyBlueHealth $139.67
BCBS BlueAdvantage $146.85
Aetna OON $159.26
BCBS BlueEssentials $161.22
BCBS BlueEssentialsAccess $161.22
Amerigroup CHIPBH $175.65
Amerigroup MCDBH $175.65
Amerigroup CHIPBH $175.65
Amerigroup MCDBH $175.65
BCBS HealthSelectOpenAccess(EPOSOA) $176.38
United AllPayerAppendix $182.03
United Charter $182.03
United NexusACO $182.03
United SmallGroup $182.03
United AllPayerAppendix $182.03
United Charter $182.03
United NexusACO $182.03
United SmallGroup $182.03
United AllPayerAppendix $182.03
United Charter $182.03
United NexusACO $182.03
United SmallGroup $182.03
United AllPayerAppendix $182.03
United Charter $182.03
United NexusACO $182.03
United SmallGroup $182.03
United AllPayerAppendix $182.03
United Charter $182.03
United NexusACO $182.03
United SmallGroup $182.03
United AllPayerAppendix $182.03
United Charter $182.03
United NexusACO $182.03
United SmallGroup $182.03
United AllPayerAppendix $182.03
United Charter $182.03
United NexusACO $182.03
United SmallGroup $182.03
United AllPayerAppendix $182.03
United Charter $182.03
United NexusACO $182.03
United SmallGroup $182.03
BCBS PPO $191.54
Imperial Insurance DualEligible $238.39
Imperial Insurance MCRHMO $238.39
Imperial Insurance MCRPFFS $238.39
Imperial Insurance MCRPOS $238.39
Imperial Insurance MCRPPO $238.39
Imperial Insurance MCRSNP $238.39
Imperial Insurance DualEligible $238.39
Imperial Insurance MCRHMO $238.39
Imperial Insurance MCRPFFS $238.39
Imperial Insurance MCRPOS $238.39
Imperial Insurance MCRPPO $238.39
Imperial Insurance MCRSNP $238.39
Cigna NewBusinessNetwork $257.95
Cigna HMO $281.97
Cigna OpenAccessPlus $281.97
United OptionsPPO $314.92
United OptionsPPO $314.92
Community First Health Plans HMO $338.76
Community First Health Plans HMO $338.76
Cigna PPO $340.63
Cigna Lifesource COMM $363.85
Cigna Lifesource COMM $363.85
BCBS TRAD $370.13
BCBS TRAD $370.13
Focus Health Solutions COMM $376.4
Focus Health Solutions COMM $376.4
Healthcare Highways NarrowNetwork $386.44
Healthcare Highways NarrowNetwork $386.44
Valenz NXNetwork $439.13
Valenz NXNetwork $439.13
Evry Health Broad $461.72
Evry Health Broad $461.72
Curative Administrators COMM $501.87
Curative Administrators COMM $501.87
Fidelis SecureCare MGMCR $564.6
Fidelis SecureCare MGMCR $564.6
Emerging Therapy Solutions MCR $614.79
Emerging Therapy Solutions MCR $614.79
Aetna ASA $627.34
National ChoiceCare WORKERSCOMP $627.34
Texas Healthcare Foundation HEB HEBEmployee $627.34
TX Healthcare Foundation PPO $627.34
Aetna ASA $627.34
National ChoiceCare WORKERSCOMP $627.34
Texas Healthcare Foundation HEB HEBEmployee $627.34
TX Healthcare Foundation PPO $627.34
HealthSmart Preferred Care Accel $690.07
Independent Medical Systems PPO $690.07
Physician Cooperative of Texas WORKERSCOMP $690.07
HealthSmart Preferred Care Accel $690.07
Independent Medical Systems PPO $690.07
Physician Cooperative of Texas WORKERSCOMP $690.07
HAA Preferred Partners LOGOV $752.8
San Antonio Employers Health Alliance PPO $752.8
HAA Preferred Partners LOGOV $752.8
San Antonio Employers Health Alliance PPO $752.8
Coastal Comp Health Networks WORKERSCOMP $815.54
National Healthcare Solutions PPO $815.54
Coastal Comp Health Networks WORKERSCOMP $815.54
National Healthcare Solutions PPO $815.54
MultiPlan, Inc. PRIMARYPPO $840.63
PHCS PrimaryPPO $840.63
Emerging Therapy Solutions COMM $840.63
MultiPlan, Inc. PRIMARYPPO $840.63
PHCS PrimaryPPO $840.63
Emerging Therapy Solutions COMM $840.63
TML Intergovernmental EBP PPO $878.27
TML Intergovernmental EBP PPO $878.27
MultiPlan, Inc. COMPLEMENTARYPPO $941
PHCS Complimentary $941
TriWest Health Alliance TRICARE $941
MultiPlan, Inc. COMPLEMENTARYPPO $941
PHCS Complimentary $941
TriWest Health Alliance TRICARE $941
Blue Bell PPO $1,003.74
DirectCare America PPO $1,003.74
United Payors United Providers PPO $1,003.74
USA Managed Care PPO $1,003.74
Blue Bell PPO $1,003.74
DirectCare America PPO $1,003.74
United Payors United Providers PPO $1,003.74
USA Managed Care PPO $1,003.74
Managed Healthcare PPO $1,066.47
MedicalControl PPO $1,066.47
Managed Healthcare PPO $1,066.47
MedicalControl PPO $1,066.47
Optum MCD $1,254.67
Optum MCD $1,254.67

Key finding: United Healthcare plans show the widest rate variation, paying as little as $28.74 for some plans while other insurers pay up to $1,254.67 at Methodist facilities.

How to Use This Information

Our methodology · Medical Disclaimer

What Patients Ask About Chest X-ray Costs

How much does a chest x-ray cost without insurance in San Antonio?

Without insurance in San Antonio, chest X-ray facility fees range from $151.65 to $1,254.67 for code 71046. CHRISTUS Santa Rosa Medical Center charges $151.65 cash, while CHRISTUS Children's charges $182.82. Other CHRISTUS locations (Alamo Heights, New Braunfels, San Marcos, and Westover Hills) charge $425.70 each. All Methodist system hospitals charge $1,254.67 cash. This represents an 8x price difference between the lowest and highest cash prices for identical imaging services. These facility fees cover the hospital's charges for equipment, room, and technical staff but are separate from the radiologist's professional fee for interpreting the images, which is billed separately by the physician.

Why is the gross charge so much higher than the cash price?

The gross charge represents the hospital's standard listed price from their chargemaster, but almost no one actually pays this amount. CHRISTUS facilities demonstrate significant discounting, with cash prices representing 33-45% of gross charges. For example, CHRISTUS Santa Rosa Medical Center reduces its $337 gross charge to $151.65 cash (45% of gross). However, Methodist facilities show no cash discount, with their $1,254.67 cash price equaling 100% of the gross charge. The gross charge serves as a starting point for negotiations with insurance companies and calculating various discounts, but the actual transaction prices are typically much lower due to contractual agreements, cash discounts, and negotiated rates with payers.

Does insurance cover a chest x-ray?

Insurance coverage for chest X-rays depends on your specific plan benefits and plan coverage requirements as determined by your physician. Insurance companies have negotiated rates ranging from $28.74 to $1,225.50 across San Antonio hospitals, showing significant variation even for the same procedure. Many plans require prior authorization for non-emergency imaging to ensure plan coverage requirements. If you have a high-deductible health plan and have not yet met your annual deductible, you will owe the negotiated rate your insurance company has with the hospital, not the higher gross charge. Once your deductible is met, you typically pay only your copayment or coinsurance percentage as outlined in your plan benefits.

Are there additional fees beyond the chest x-ray facility charge?

Yes, the facility fee covers only the hospital's charges for equipment, room, and technical staff. The radiologist's professional fee for interpreting and reading the X-ray images is billed separately by the physician or radiology group. If the X-ray is performed in an emergency department setting, separate emergency room facility fees will apply in addition to the imaging charges. These professional and emergency department fees are not included in the facility pricing shown here and will appear as separate line items on your bill. The radiologist's interpretation fee varies by provider and is typically billed under different codes than the technical facility component.

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ER Visit Cost in San Antonio

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Data Sources

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Heads up: source files are large

Hospital CMS transparency files typically range from tens of megabytes to several hundred megabytes. Clicking a link below will open the file in a new tab and may trigger a large download, which can consume mobile data or slow down older devices. These files are intended for data processing, not casual viewing.

CHRISTUS Children's

File updated: 2026-01-12 · Accessed by us: 2026-04-13

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CHRISTUS Santa Rosa Alamo Heights

File updated: 2026-01-13 · Accessed by us: 2026-04-13

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CHRISTUS Santa Rosa Medical Center

File updated: 2024-11-20 · Accessed by us: 2026-04-13

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CHRISTUS Santa Rosa New Braunfels

File updated: 2026-01-12 · Accessed by us: 2026-04-13

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CHRISTUS Santa Rosa San Marcos

File updated: 2026-01-13 · Accessed by us: 2026-04-13

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CHRISTUS Santa Rosa Westover Hills

File updated: 2026-01-13 · Accessed by us: 2026-04-13

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Methodist Hospital

File updated: 2026-03-01 · Accessed by us: 2026-04-13

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Methodist Hospital Atascosa

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Methodist Hospital Hill Country

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Methodist Hospital Landmark

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Methodist Hospital Westover Hills

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Methodist Specialty and Transplant

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Methodist Stone Oak Hospital

File updated: 2026-03-01 · Accessed by us: 2026-04-13

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Methodist Texsan Hospital

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Metropolitan Methodist Hospital

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Northeast Methodist Hospital

File updated: 2026-03-01 · Accessed by us: 2026-04-13

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