Chest X-ray Cost in Tri-Cities (Johnson City-Kingsport-Bristol), TN

A chest X-ray with two views is an imaging procedure that uses a small dose of ionizing radiation to produce a still image of the chest. A technologist positions the person facing the detector for a frontal view, then turns them sideways for a second view. The resulting images show the structures within the chest cavity, including the lungs, heart outline, and bones of the rib cage. The facility fee covers the imaging room, X-ray equipment, and technologist staff. Prices on this page come from CMS-mandated hospital transparency files and are listed under HCPCS code 71046 (Chest X-ray, 2 Views), the only billing code in this dataset.

Data last accessed by us: 2026-10-15 · Newest hospital file date among hospitals below: 3/23/2026

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
Bristol Regional $69.30 Schedule →
Franklin Woods $69.30 Schedule →
Hawkins County Memorial $69.30 Schedule →
Holston Valley $69.30 Schedule →
Indian Path $69.30 Schedule →
Johnson City Medical Center $69.30 Schedule →
Sycamore Shoals $69.30 Schedule →

What These Prices Mean

Understanding the price columns
The gross charge, also called the chargemaster price, is the full list price a hospital sets for a service before any discounts. For code 71046, all seven hospitals in this dataset list a gross charge of $462. The cash price is the discounted rate for people paying without insurance. Every hospital lists the same cash price of $69.30, which is 15% of the gross charge. The insured range reflects negotiated rates between hospitals and insurance plans. It runs from $16.68 to $462 at most hospitals, and from $20.28 to $462 at Franklin Woods. A person on a high-deductible health plan who has not yet met the deductible owes the negotiated rate for their plan, not the gross charge.

What code 71046 covers
HCPCS code 71046 describes a chest X-ray with two views, typically a frontal and a lateral image. Only this code appears in the data, so no variation between codes can be compared. A single-view chest X-ray carries a different billing code and is not part of this dataset. The facility fee for 71046 applies to the technical component of the exam: the equipment, room, and staff time needed to capture the images.

Why Chest X-ray Prices Vary

Hospital pricing structures
In this dataset, hospital pricing for code 71046 does not vary at the gross or cash level. The gross charge gap between hospitals is $0, since all seven list $462. The cash price gap is also $0, with every hospital at $69.30. Each hospital applies the same 15% ratio of cash price to gross charge. Variation appears only in the insured range, where the lowest negotiated rate is $16.68 at six hospitals and $20.28 at Franklin Woods. Across 303 payer-specific rates, the highest rate is 28 times the lowest, which shows that the insurer and plan matter more than the hospital in this market.

Facility type and alternatives
The hospitals compared here include a larger medical center (Johnson City Medical Center), regional medical centers, and community hospitals. For this code, facility type does not change the listed cash price, which stays at $69.30 across all seven. Outpatient imaging centers and freestanding facilities are not in this dataset and may charge differently, so no comparison to them can be drawn from this data.
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Paying cash? Health insurance could lower your Chest X-ray cost.

Published cash prices on this page range from $69.30 to $69.30. The lowest insured rate in the price table is $16.68 (Bristol Regional Medical Center). Insured rates depend on the plan, and the lowest are often Medicaid, CHIP or Medicare Advantage plans, so they may not reflect what a commercial or marketplace plan pays. If you are uninsured, a marketplace health plan could reduce your out-of-pocket cost for this procedure.

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 Tri-Cities (Johnson City-Kingsport-Bristol)

How much does each insurance company pay for chest x-ray at Tri-Cities (Johnson City-Kingsport-Bristol) hospitals?

Insurer Lowest Rate Hospitals
BlueCross BlueShield of Tennessee $16.68 7
UnitedHealthcare $31.06 7
Cigna $43.60 7
Amerigroup $51.89 7
Sentara Health Plans $67.36 7
Aetna $70.05 7
Molina Healthcare $70.05 7
WellCare $83.69 7

Rates shown are the lowest and highest negotiated rates each insurer has published across Tri-Cities (Johnson City-Kingsport-Bristol) 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 Bristol Regional, outpatient facility fee:

Chest X-ray, 2 Views (71046), Bristol Regional Payer Rates

Insurance Payer Plan Type Negotiated Rate
BLUE CROSS TENNCARE BLUE CARE $16.68
BLUE CROSS TENNCARE BLUE SELECT $16.68
UNITED HEALTHCARE TENNCARE UNITED HEALTHCARE $37.27
CIGNA HEALTHCARE CIGNA INDIVIDUAL FAMILY PLAN $43.60
BLUE CROSS BLUE CROSS E NETWORK $57.17
BLUE CROSS BLUE CROSS P NETWORK $58.41
BLUE CROSS BLUE CROSS S NETWORK $58.41
BLUE CROSS ANTHEM HLTHKEEP MEDICIAD $71.72
UNITED HEALTHCARE UNITED HEALTHCARE MEDICAID VIRGINIA $71.72
OPTIMA HEALTH OPTIMA HEALTH MEDICAID $71.79
AETNA AETNA BETTER HEALTH OF VIRGINIA $72.41
MOLINA HEALTHCARE MOLINA HEALTHCARE MEDICAID $73.11
AETNA AETNA HEALTHCARE MEDICARE $82.56
ALLCARE MEDICARE ALLCARE MEDICARE $82.56
HUMANA HUMANA MEDICARE $82.56
MANAGED MEDICAIRE MANAGED MEDICAIRE $82.56
SENTARA HEALTH SENTARA MEDICARE $82.56
UNITED HEALTHCARE UNITED HEALTHCARE MEDICARE $82.56
UNITED MINE WORKERS OF AMERICA UNITED MINE WORKERS OF AMERICA $82.56
AETNA AETNA BETTER HEALTH OF VIRGINIA MEDICARE $85.03
BLUE CROSS ANTHEM MEDICARE VIRGINIA $85.03
AMERIGROUP AMERIGROUP MEDICARE WELLPOINT $85.86
BLUE CROSS BLUE CROSS MEDICARE $85.86
CIGNA HEALTHCARE CIGNA MEDICARE $86.68
DEVOTED HEALTH PLAN DEVOTED HEALTH PLAN MEDICARE $86.68
MOLINA HEALTHCARE MOLINA HEALTHCARE MEDICARE $86.68
MOUNTAIN EMPIRE PACE MOUNTAIN EMPIRE PACE $86.68
NHC ADVANTAGE NHC ADVANTAGE $86.68
WELLCARE WELLCARE MEDICARE $87.51
SENTARA HEALTH SENTARA HEALTH $119.24
AMBETTER AMBETTER $179.97
CIGNA HEALTHCARE CIGNA HMO $192.65
CIGNA HEALTHCARE CIGNA OPEN ACCESS PLUS $192.65
CIGNA HEALTHCARE CIGNA PPO $192.65
AETNA AETNA $197.27
SEVEN CORNERS, INC. SEVEN CORNERS, INC. $198.14
BLUE CROSS ANTHEM EXCHANGE $205.86
BLUE CROSS ANTHEM HMO $218.73
MEDCOST MEDCOST VHN $219.87
UNITED HEALTHCARE UHC HERITAGE SELECT $224
UNITED HEALTHCARE UHC HERITAGE RIVER VALLEY $233
BLUE CROSS ANTHEM PPO, TRADITIONAL INDEMNITY $257.33
BLUE CROSS BLUE CROSS BALLAD HEALTH EMPLOYEE $323.40
FIRST HEALTH COVENTRY FIRST HEALTH COVENTRY $355.74
UNITED HEALTHCARE UNITED HEALTHCARE $370
WELLCARE WELLCARE MEDICAID $462

Key finding: Blue Cross TennCare plans have negotiated rates as low as $16.68 for a chest X-ray, while United Healthcare and WellCare Medicaid rates at some hospitals reach $462, the full gross charge.

What to Do With These Chest X-ray Prices

Confirm the code before you call. Ask the office that ordered the x-ray for the exact CPT code. This page prices 71046, a chest x-ray with 2 views. Quote that code when you ask the hospital for its cash price and an itemized estimate, and check that the quote covers the same code and the same number of views.

Put your number next to the real figures. Every hospital here publishes a cash price of $69.30 for 71046 against a gross charge of $462. Insured rates run from $16.68 to $462, so a cash quote is not automatically lower than what an insurer pays. If you have coverage, ask your plan or the hospital for the rate that applies to you before comparing.

Expect a split bill. The figures here are the hospital's technical charge only. Check the bill for:

  • The facility fee for taking the images, which is the part shown on this page.
  • A separate professional fee from the radiologist who reads the images, often from a different billing office.
  • Any extra line that does not match the code you were quoted.

Scope and gaps. All 7 hospitals list a cash price and a gross charge for this code, so nothing on this page is missing or shown as $0. Outpatient and freestanding imaging centers are not included and may price differently. Ask the ordering office whether the order is with or without contrast, since that changes the billing code and the price.

Financial assistance and discounts. Nonprofit hospitals are required to publish a financial assistance policy, and the billing office can send it with an application. Some hospitals also offer prompt-pay or self-pay discounts; these vary by hospital and are not included in this data. If you are uninsured or not using insurance for scheduled care, you can ask the provider for a good faith estimate before the appointment.

General information about using published prices, not medical, legal or financial advice. Confirm your own cost with the hospital and your insurer. Our methodology · Medical Disclaimer

What Patients Ask About Chest X-ray Costs

How much does a chest x-ray cost without insurance in Tri-Cities (Johnson City-Kingsport-Bristol)?

Without insurance, the cash price for a two-view chest X-ray (HCPCS 71046) is $69.30 at all seven hospitals in the Tri-Cities area: Bristol Regional, Franklin Woods, Hawkins County Memorial, Holston Valley, Indian Path, Johnson City Medical Center, and Sycamore Shoals. The overall range is $69.30 to $69.30, so there is no difference between hospitals. Only one code is listed, so there is no variant to compare. These figures are facility fees, which cover the room, equipment, and technologist staff. Physician and professional fees, such as the radiologist's reading, are billed separately and are not included in these prices.

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

The gross charge, or chargemaster price, is the full list price a hospital assigns to a service before negotiated discounts. At all seven hospitals, the gross charge for code 71046 is $462. The cash price of $69.30 is 15% of that amount, a discount of 85%. Almost no one pays the gross charge, because insurers negotiate lower rates and hospitals discount prices for self-pay patients. The gross charge functions mainly as a starting point for billing. Because every hospital lists the same gross charge and the same cash price, no hospital in this dataset has a larger percentage discount that still results in a higher cash price.

Does insurance cover a chest x-ray?

Coverage depends on your plan and on whether the exam meets the plan's medical necessity criteria. Payer rates for code 71046 vary widely: across 303 rates in this dataset, negotiated amounts range from $16.68 to $462. Some plans may require prior authorization for non-emergency imaging, and requirements differ by insurer. If you have a high-deductible health plan and have not met your deductible, you owe the negotiated rate for your plan, not the gross charge of $462. Once the deductible is met, cost sharing such as coinsurance or copays follows plan terms.

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

Yes. The prices listed here are facility fees, which cover the imaging room, X-ray equipment, and technologist staff. A radiologist, the physician who interprets the images, typically bills a separate professional fee for reading the exam. That fee is not included in the facility price, and it is not part of the data on this page, so no dollar amount is given. If the X-ray is performed in an emergency department, a separate ER facility fee is also billed. Fees for other services during the same visit, such as an office visit with the ordering provider, are billed separately as well.

What is the cash price for a chest x-ray at Johnson City Medical Center?

Johnson City Medical Center publishes a cash price of $69.30 for CPT 71046 (Chest X-ray, 2 Views), against a gross charge of $462. The cash price is 15% of gross. This is a facility charge only, so separate fees such as a radiologist's reading are not included in this figure.

What is the lowest chest x-ray cash price in Tri-Cities, TN?

Across the 7 Ballad Health hospitals on this page, the lowest published cash price for 71046 is $69.30, and every hospital lists that same figure. All 7 rows have a cash price, so no data is missing. These are facility charges only and do not include other bills tied to the visit.

How much does Blue Cross TennCare pay for a chest x-ray at Bristol Regional Medical Center?

Bristol Regional Medical Center lists $16.68 for 71046 under both Blue Cross TennCare Blue Care and TennCare Blue Select. That is the lowest insured rate in the table. It is a facility charge only, and other charges for the same visit are not included.

What is the highest chest x-ray price in Johnson City, Kingsport or Bristol?

The highest published figure for 71046 is the $462 gross charge, which all 7 hospitals list. At Bristol Regional Medical Center, Wellcare Medicaid also shows $462 as an insured rate. These are facility charges only. Cash is listed at $69.30 at each hospital.

What is CPT code 71046 for chest x-rays in Kingsport and Tri-Cities?

71046 is the billing code for Chest X-ray, 2 Views, and it is the only code on this page. Holston Valley Medical Center in Kingsport lists a gross charge of $462 and cash price of $69.30 for it. Insured rates there run from $16.68 to $462. All figures are facility charges only.

Compare Other Procedures in Tri-Cities (Johnson City-Kingsport-Bristol)

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.

Bristol Regional Medical Center

File updated: 2026-03-23 · Accessed by us: 2026-10-15

Attested by: Shana Tate

We are not affiliated with Bristol Regional Medical Center. Published prices may not reflect your actual cost. Disclaimer

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Franklin Woods Community Hospital

File updated: 2026-03-23 · Accessed by us: 2026-10-15

Attested by: Shana Tate

We are not affiliated with Franklin Woods Community Hospital. Published prices may not reflect your actual cost. Disclaimer

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Hawkins County Memorial Hospital

File updated: 2026-03-23 · Accessed by us: 2026-10-15

Attested by: Shana Tate

We are not affiliated with Hawkins County Memorial Hospital. Published prices may not reflect your actual cost. Disclaimer

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Holston Valley Medical Center

File updated: 2026-03-23 · Accessed by us: 2026-10-15

Attested by: Shana Tate

We are not affiliated with Holston Valley Medical Center. Published prices may not reflect your actual cost. Disclaimer

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Indian Path Community Hospital

File updated: 2026-03-23 · Accessed by us: 2026-10-15

Attested by: Shana Tate

We are not affiliated with Indian Path Community Hospital. Published prices may not reflect your actual cost. Disclaimer

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Johnson City Medical Center

File updated: 3/23/2026 · Accessed by us: 2026-10-15

Attested by: Shana Tate

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Sycamore Shoals Hospital

File updated: 2026-03-23 · Accessed by us: 2026-10-15

Attested by: Shana Tate

We are not affiliated with Sycamore Shoals Hospital. Published prices may not reflect your actual cost. Disclaimer

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