X-ray, chest (single view) cost in CA
What a x-ray, chest (single view) costs at CA hospitals — and the fair price to aim for.
Typical commercial prices here are +22% above the fair benchmark (1.22×) even after accounting for local nurse/doctor wages and patient complexity.
Balances commercial hospital prices against CMS clinical safety, infection control, and patient experience.
Loss-Leader / Captive Ancillary Cross-Subsidizer
Saint Agnes Medical Center prices routine shoppable procedures near 1.4× Medicare (p50 1.14×) while skewing captive emergency, lab, and upper-quartile codes to 1.6× Medicare (p75 1.62×, +42% upper-tail jump). Patients scheduling elective outpatient care can capture competitive rates, but emergency and ancillary bills require strict line-item auditing.
Where They're Good (Patient & Payer Edge)
- Bottom-quartile procedures (Q25) price at 0.24× the peer BaseRate benchmark
- Self-pay cash beats commercial insurance on 29% of shoppable procedures (99/100 Cash Honesty)
- 2-Star CMS clinical rating with 73% patient recommendation (64/100 safety score)
- IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (33.6% AGB cap)
Where You Can Get Burned (Markup Traps)
- Outpatient surgery & OR suites carry a 1.8× markup over Medicare rates
- Captive ER (0.7×) & laboratory (0.7×) services average 1.14× higher multiples than routine shoppable care (1.4×)
- Upper-quartile procedures (Q75 1.62×) jump +42% above the median procedure ratio (Q50 1.14×)
- Consolidated metro market (HHI 3,609) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))
Pre-scheduled outpatient procedures where patients can comparison-shop.
Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.
Detects median-gaming when upper-quartile codes spike above the p50 median.
In general, CA hospitals charge about the fair price for this. how we calculate the BaseRate →
Compared with the rest of the country, CA’s fair BaseRate ($116) is above the national fair price of $92.
Cheapest CA hospitals for a x-ray, chest (single view)
- Saint Agnes Medical Center · Fresno $18
- Adventist Health Lodi Memorial · Lodi $18
- Uc San Diego Health Hillcrest - Hillcrest Med Ctr · San Diego $18
- Kern Medical Center · Bakersfield $18
- University of California Davis Medical Center · Sacramento $18
- Tahoe Forest Hospital · Truckee $18
- Southwest Healthcare Rancho Springs Hospital · Murrieta $18
- Orchard Hospital · Gridley $22
- Plumas District Hospital · Quincy $22
- Adventist Health Sonora · Sonora $22
- City of Hope National Medical Center · Duarte $23
- Banner Lassen Medical Center · Susanville $23
- Adventist Health Reedley · Reedley $24
- Community Regional Medical Center · Fresno $24
- Adventist Health White Memorial · Los Angeles $25
Audit a Bill or Quote at CA Hospital Benchmark (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $98
At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (36.3% of gross = $98).
Compare Prompt-Pay Cash Rate Against Remaining Deductible
Ask CA Hospital Benchmark's billing desk for their written 45 CFR § 180 discounted self-pay cash price and Good Faith Estimate under the No Surprises Act.
Negotiate Toward $116 Fair BaseRate ($67 Medicare)
Your bill ($269) is $153 above the denoised Fair BaseRate ($116) and 4.0× the $67 Medicare rate.