X-ray, chest (single view) cost in WA
What a x-ray, chest (single view) costs at WA hospitals — and the fair price to aim for.
Typical commercial prices here are +62% above the fair benchmark (1.62×) 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
Lincoln Hospital prices routine shoppable procedures near 0.8× Medicare (p50 0.76×) while skewing captive emergency, lab, and upper-quartile codes to 1.4× Medicare (p75 1.37×, +80% 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)
- Elective shoppable care is priced 10% below peer Fair BaseRate (0.90×)
- Self-pay cash beats commercial insurance on 23% of shoppable procedures (43/100 Cash Honesty)
- CMS clinical safety score (70/100 safety score) with 83% patient recommendation
- Binding Good Faith Estimate rights under 45 CFR § 149.610 protect self-pay patients before scheduling
Where You Can Get Burned (Markup Traps)
- Even at low-cost facilities (1.62× Fair BaseRate), out-of-network or unnegotiated chargemaster bills can exceed commercial medians — confirm in-network status or request a self-pay cash quote up front.
- Captive ER (0.5×) & laboratory (1.1×) services average 1.75× higher multiples than routine shoppable care (0.8×)
- Upper-quartile procedures (Q75 1.37×) jump +80% above the median procedure ratio (Q50 0.76×)
- Unnegotiated chargemaster list prices average 7.2× Medicare (30¢ true HCRIS cost per $1 gross)
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, WA hospitals charge about the fair price for this. how we calculate the BaseRate →
Compared with the rest of the country, WA’s fair BaseRate ($162) is above the national fair price of $92.
Cheapest WA hospitals for a x-ray, chest (single view)
- Lincoln Hospital · Davenport $16
- Skyline Hospital · White Salmon $17
- Seattle Children's Hospital · Seattle $19
- Fred Hutchinson Cancer Center · Seattle $23
- Snoqualmie Valley Hospital · Snoqualmie $34
- Island Hospital · Anacortes $40
- Cascade Medical Center · Leavenworth $49
- Shriners Hospital for Children · Spokane $88
- Skagit Valley Hospital · Mount Vernon $92
- Astria Toppenish Hospital · Toppenish $93
- Trios Health · Kennewick $96
- Virginia Mason Medical Center · Seattle $96
- Olympic Medical Center · Port Angeles $100
- Deaconess Medical Center · Spokane $102
- Lourdes Medical Center · Pasco $104
Audit a Bill or Quote at WA Hospital Benchmark (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $130
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 = $130).
Compare Prompt-Pay Cash Rate Against Remaining Deductible
Ask WA 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 $162 Fair BaseRate ($94 Medicare)
Your bill ($358) is $196 above the denoised Fair BaseRate ($162) and 3.8× the $94 Medicare rate.